MRS. Jill Darlene Pridgen, PA-C, M.S.

NPI #1104021013 in Mabank, Texas

Provider Information

NPI Number
1104021013
Entity Type
Individual
Name
MRS. Jill Darlene Pridgen, PA-C, M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C, M.S.
Enumeration Date
Jun 19, 2007
Last Updated
Oct 26, 2010

Practice Location

Address
604 S 3RD ST
City
Mabank
State
Texas
ZIP Code
75147-2700
Phone
(903) 887-1073

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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