Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP140894 | TX |
NPI | 1013475813 |
---|---|
Provider Name | Jamie Lynn Hulm |
First Address | Richardson, TX 75080-3620 |
Second Address | Richardson, TX 75080-3620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2019 |
Last Update Date | 11/03/2019 |