person
Jamie K Modrall, FNP
Family Nurse Practitioner in Mesquite, Texas
NPI 1336169002

Jamie K Modrall is a Family Nurse Practitioner based in Mesquite, TX and is specialized in Family. Jamie K Modrall practices in Mesquite, TX and has the professional credentials of FNP. The NPI Number for Jamie K Modrall is 1336169002 and holds a License No. 650239 (Texas).

The current practice location address for Jamie K Modrall is 18601 Lyndon B Johnson Fwy Ste 315, Mesquite, TX and can be reached out via phone at 972-686-1795 and via fax at 972-686-1798.

Location: 18601 Lyndon B Johnson Fwy Ste 315, Mesquite, TX, 75150-5612
person
Provider Profile Details
NPI Number
1336169002
Provider Name
Jamie K Modrall
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
18601 Lyndon B Johnson Fwy Ste 315, Mesquite, TX, 75150-5612
Phone Number
972-686-1795
Fax Number
972-686-1798
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041477302 05 TX
041477304 05 TX
institution
Provider Business Practice Location Address Details
Address
18601 Lyndon B Johnson Fwy Ste 315
City
State
Zip
75150-5612
Phone Number
972-686-1795
Fax Number
972-686-1798
person
Provider Business Mailing Address Details
Address
18601 Lyndon B Johnson Fwy Ste 315
City
State
Zip
75150-5612
Phone Number
972-686-1795
Fax Number
972-686-1798
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
650239 (Texas)
Definition
Definition to come...
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