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Jeffrey Jessada Lertdilok, FNP-C
Family Nurse Practitioner in Carrollton, Texas
NPI 1720621071

Jeffrey Jessada Lertdilok is a Family Nurse Practitioner based in Carrollton, TX and is specialized in Family. Jeffrey Jessada Lertdilok practices in Carrollton, TX and has the professional credentials of FNP-C. The NPI Number for Jeffrey Jessada Lertdilok is 1720621071 and holds a License No. AP142915 (Texas).

The current practice location address for Jeffrey Jessada Lertdilok is 4100 Fairway Dr Ste 320, Carrollton, TX and can be reached out via phone at 972-236-7608.

Location: 4100 Fairway Dr Ste 320, Carrollton, TX, 75010-1196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720621071
Provider Name
Jeffrey Jessada Lertdilok
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
4100 Fairway Dr Ste 320, Carrollton, TX, 75010-1196
Phone Number
972-236-7608
Fax Number
Provider Enumeration Date
10/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4100 Fairway Dr Ste 320
City
Carrollton
State
Texas
Zip
75010-6537
Phone Number
972-236-7608
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Fairway Dr Ste 320
City
Carrollton
State
Texas
Zip
75010-6537
Phone Number
972-236-7608
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP142915 (Texas)
Definition
Definition to come...
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