Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 2021037855 | TX |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 1054882 | TX |
NPI | 1023778016 |
---|---|
Provider Name | Jaymii Nikole Llamas |
First Address | El Paso, TX 79905-1613 |
Second Address | El Paso, TX 79905-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2021 |
Last Update Date | 10/01/2022 |