Jilly John

NPI #1003435843 in Irving, Texas

Provider Information

NPI Number
1003435843
Entity Type
Individual
Name
Jilly John
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 12, 2020
Last Updated
Sep 15, 2021

Practice Location

Address
6363 N STATE HIGHWAY 161 STE 100
City
Irving
State
Texas
ZIP Code
75038-2239
Phone
(469) 200-3272

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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