Individual
JETTA PLOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7777 FOREST LN STE B122, DALLAS, TX 75230-6806
(972) 383-1060
(972) 383-1061
Mailing address
7777 FOREST LN STE B122, DALLAS, TX 75230-6806
(972) 383-1060
(972) 383-1061
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
636799
TX
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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