Individual
JILL MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-8650
(214) 645-8669
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8650
(214) 645-8669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
507396
TX
363LG0600X
Gerontology Nurse Practitioner
507396
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209401301
—
TX
Enumeration date
12/22/2009
Last updated
08/12/2014
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