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Individual
JILJI PAYIKKATTU
Active
Individual
JILJI PAYIKKATTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711177
TX
363LF0000X
Family Nurse Practitioner
711177
TX
363LF0000X
Family Nurse Practitioner
AP125455
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP125455
TX
Other
Enumeration date
03/25/2014
Last updated
03/10/2023
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