Individual
SUE WHALEY BAJACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
175 MARY MAX CIR, SAN MARCOS, TX 78666-3254
(956) 434-1377
Mailing address
175 MARY MAX CIR, SAN MARCOS, TX 78666-3254
(956) 434-1377
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP102784
TX
Other
Enumeration date
10/22/2008
Last updated
01/13/2025
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