Individual
JILLIAN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 FOREST LN, SUITE C 833, DALLAS, TX 75230-2571
(972) 566-4591
(972) 566-6091
Mailing address
7777 FOREST LN, SUITE C 833, DALLAS, TX 75230-2571
(972) 566-4591
(972) 566-6091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP126684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
697515
LICENSE
TX
01
—
AP126684
LICENSE
TX
Enumeration date
10/20/2014
Last updated
10/20/2014
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