Individual
JEANETTE GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(406) 921-2209
Mailing address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(406) 921-2209
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
756993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756993
ANP LICENSE
TX
Enumeration date
12/07/2012
Last updated
10/04/2023
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