Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0000 | TX |
NPI | 1023609716 |
---|---|
Provider Name | Jennifer Armstrong |
First Address | Dallas, TX 75244-6001 |
Second Address | Dallas, TX 75204-5900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2021 |
Last Update Date | 27/01/2021 |