# JAIMOLE THOMPSON VARGHESE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114229044
- **Gender:** F
- **Credential:** ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 701792 | TX | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 02/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 217445001 | — | TX |
| 01 | — | 835N98 | BCBS | TX |
