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Grace Syombua Jedidah
Psychiatric/Mental Health Nurse Practitioner in Mansfield, Texas
NPI 1386375665

Grace Syombua Jedidah is a Psychiatric/Mental Health Nurse Practitioner based in Mansfield, TX and is specialized in Psychiatric/Mental Health. Grace Syombua Jedidah practices in Mansfield, TX. The NPI Number for Grace Syombua Jedidah is 1386375665 and holds a License No. 1059626 (Texas).

The current practice location address for Grace Syombua Jedidah is 1024 E Broad St Ste 207, Mansfield, TX and can be reached out via phone at 682-518-3323 and via fax at 682-518-3323.

Location: 1024 E Broad St Ste 207, Mansfield, TX, 76063-7702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386375665
Provider Name
Grace Syombua Jedidah
Credential
Provider Entity Type
Individual
Gender
Female
Address
1024 E Broad St Ste 207, Mansfield, TX, 76063-7702
Phone Number
682-518-3323
Fax Number
682-518-3323
Provider Enumeration Date
06/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1024 E Broad St Ste 207
City
Mansfield
State
Texas
Zip
76063-7702
Phone Number
682-518-3323
Fax Number
682-518-3323
person
Provider Business Mailing Address Details
Address
1024 E Broad St Ste 207
City
Mansfield
State
Texas
Zip
76063-7702
Phone Number
682-518-3323
Fax Number
682-518-3323
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1059626 (Texas)
Definition
Definition to come...
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