Jaceelli Healthcare
NPI #1649811316 in Midlothian, Texas
Provider Information
- NPI Number
- 1649811316
- Entity Type
- Organization
- Organization Name
- Jaceelli Healthcare
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 3, 2019
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 213 TIMBERLINE DR
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065-5611
- Phone
- (832) 215-0223
Authorized Official
- Name
- JUDE N ABAM, NP
- Title
- OWNER / PRACTITIONER
- Phone
- (832) 215-0223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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