Jamie K Modrall, FNP

NPI #1336169002 in Mesquite, Texas

Provider Information

NPI Number
1336169002
Entity Type
Individual
Name
Jamie K Modrall, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jul 19, 2006
Last Updated
Nov 7, 2012

Practice Location

Address
18601 LYNDON B JOHNSON FWY STE 315
State
Texas
ZIP Code
75150-5612
Phone
(972) 686-1795

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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