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Jerrie Denise San Luis, RN
Addiction (Substance Use Disorder) Registered Nurse in Austin, Texas
NPI 1013667708

Jerrie Denise San Luis is an Addiction (Substance Use Disorder) Registered Nurse based in Austin, TX and is specialized in Addiction (Substance Use Disorder). Jerrie Denise San Luis practices in Austin, TX and has the professional credentials of RN. The NPI Number for Jerrie Denise San Luis is 1013667708 and holds a License No. 652119 (Texas).

The current practice location address for Jerrie Denise San Luis is 1110 W William Cannon Dr Ste 303, Austin, TX and can be reached out via phone at 512-899-2100 and via fax at 512-899-2205. You can also correspond with Jerrie Denise San Luis through the mailing address at 1110 W WILLIAM CANNON DR STE 303, AUSTIN, TX - 78745-3188 (mailing address contact number: 512-899-2100).

Location: 1110 W William Cannon Dr Ste 303, Austin, TX, 78745-3188
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Provider Profile Details
NPI Number
1013667708
Provider Name
Jerrie Denise San Luis
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1110 W William Cannon Dr Ste 303, Austin, TX, 78745-3188
Phone Number
512-899-2100
Fax Number
512-899-2205
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
652119 01 TX NURSE LICENSE-REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
1110 W William Cannon Dr Ste 303
City
State
Zip
78745-3188
Phone Number
512-899-2100
Fax Number
512-899-2205
person
Provider Business Mailing Address Details
Address
1110 W William Cannon Dr Ste 303
City
State
Zip
78745-3188
Phone Number
512-899-2100
Fax Number
512-899-2205
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
652119 (Texas)
Definition
Definition to come...
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