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Individual
JALANE S THEIS
Active
Individual
JALANE S THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
290289
NC
363L00000X
Nurse Practitioner
689594
TX
363LP0200X
Pediatric Nurse Practitioner
AP113229
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP113229
TX
Other
Enumeration date
10/17/2006
Last updated
08/10/2025
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