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Mrs. Angela Jill Southern, FNP-BC
Family Nurse Practitioner in Temple, Texas
NPI 1073898540

Angela Jill Southern is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Angela Jill Southern practices in Temple, TX and has the professional credentials of FNP-BC. The NPI Number for Angela Jill Southern is 1073898540 and holds a License No. 653536 (Texas).

The current practice location address for Angela Jill Southern is 2401 S 31St St, Temple, TX and can be reached out via phone at 254-724-2111.

Location: 2401 S 31St St, Temple, TX, 75284-4658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073898540
Provider Name
Angela Jill Southern
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2401 S 31St St, Temple, TX, 75284-4658
Phone Number
254-724-2111
Fax Number
Provider Enumeration Date
10/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 S 31St St
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2111
Fax Number
person
Provider Business Mailing Address Details
Address
2401 S 31St St
City
Temple
State
Texas
Zip
76508-0001
Phone Number
254-724-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
653536 (Texas)
Definition
Definition to come...
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