Individual
MISS CONLEY JO-TEEL NIBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 HICKORY ST, ABILENE, TX 79601-2345
(432) 466-1060
Mailing address
2200 HICKORY ST, ABILENE, TX 79601-2345
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
967825054
UNITEDHEALTHCARE
—
Enumeration date
08/04/2021
Last updated
08/04/2021
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