NPI 1003435843

Jilly John

Practitioner Family Nurse Practitioner Irving, TX

Practice location

Address: 6363 N State Highway 161 STE 100, Irving, TX 75038-2239
Phone: (469) 200-3272
Mailing address: 3524 Texas Star Dr, Euless, TX 76040-1106

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence AP145105 (TX)

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Registry record

NPI: 1003435843
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2020
Record last updated: 15 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.