person
Amanda Jakubowski
Pediatric Nurse Practitioner in Coppell, Texas
NPI 1194118877

Amanda Jakubowski is a Pediatric Nurse Practitioner based in Coppell, TX and is specialized in Pediatrics. Amanda Jakubowski practices in Coppell, TX. The NPI Number for Amanda Jakubowski is 1194118877 and holds a License No. AP145528 (Texas).

The current practice location address for Amanda Jakubowski is 1705 E Belt Line Rd Ste D, Coppell, TX and can be reached out via phone at 972-393-8687 and via fax at 972-393-8687.

Location: 1705 E Belt Line Rd Ste D, Coppell, TX, 75019-9606
person
Provider Profile Details
NPI Number
1194118877
Provider Name
Amanda Jakubowski
Credential
Provider Entity Type
Individual
Gender
Female
Address
1705 E Belt Line Rd Ste D, Coppell, TX, 75019-9606
Phone Number
972-393-8687
Fax Number
972-393-8687
Provider Enumeration Date
03/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
424394101 05 TX
AP145528 01 TX LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1705 E Belt Line Rd Ste D
City
State
Zip
75019-9606
Phone Number
972-393-8687
Fax Number
972-393-8687
person
Provider Business Mailing Address Details
Address
1705 E Belt Line Rd Ste D
City
State
Zip
75019-9606
Phone Number
972-393-8687
Fax Number
972-393-8687
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP145528 (Texas)
Definition
Definition to come...
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