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Jean Youngstrom Diebolt, RNFNP
Family Nurse Practitioner in Tenaha, Texas
NPI 1487667143

Jean Youngstrom Diebolt is a Family Nurse Practitioner based in Center, TX and is specialized in Family. Jean Youngstrom Diebolt practices in Tenaha, TX and has the professional credentials of RNFNP. The NPI Number for Jean Youngstrom Diebolt is 1487667143 and holds a License No. 221153 (Texas).

The current practice location address for Jean Youngstrom Diebolt is 157 Wall St, Tenaha, TX and can be reached out via phone at 936-248-4673 and via fax at 936-248-4646.

Location: 157 Wall St, Tenaha, TX, 75935-1584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487667143
Provider Name
Jean Youngstrom Diebolt
Credential
RNFNP
Provider Entity Type
Individual
Gender
Female
Address
157 Wall St, Tenaha, TX, 75935-1584
Phone Number
936-248-4673
Fax Number
936-248-4646
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164735601 05 TX
institution
Provider Business Practice Location Address Details
Address
157 Wall St
City
Tenaha
State
Texas
Zip
75974-5413
Phone Number
936-248-4673
Fax Number
936-248-4646
person
Provider Business Mailing Address Details
Address
157 Wall St
City
Tenaha
State
Texas
Zip
75974-5413
Phone Number
936-248-4673
Fax Number
936-248-4646
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
221153 (Texas)
Definition
Definition to come...
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