NPI 1033698873
Theresa Nyae Fahnbulleh
Practice location
- Address
- 120 N Walnut St, Jefferson, TX 75657-1934
- Phone
- (903) 665-6131
- Mailing address
- PO Box 901, Jefferson, TX 75657-0901
Registered specialties
Licensed Vocational Nurse
Primary
Registry record
- NPI
- 1033698873
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Aug 2018
- Record last updated
- 13 Aug 2018
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.