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Individual
LADYJOAN BOX
Active
Individual
LADYJOAN BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
765352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
765352
TEXAS BOARD OF NURSING - NURSE PRACTITIONER LICENSE
TX
Enumeration date
04/22/2013
Last updated
11/21/2019
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