Relyon Practitioner Services, Pllc

NPI #1811351927 in Desoto, Texas

Provider Information

NPI Number
1811351927
Entity Type
Organization
Organization Name
Relyon Practitioner Services, Pllc
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Apr 6, 2016
Last Updated
Apr 11, 2016

Practice Location

Address
512 N HAMPTON RD
Address 2
303
City
Desoto
State
Texas
ZIP Code
75115-4920
Phone
(469) 231-8206

Authorized Official

Name
JACQUELINE NICKSON-YOUNG
Title
CEO
Phone
(469) 231-8206

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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