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Individual

VERNON J EDMONDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
2501 W WILLIAM CANNON DR BLDG 4, AUSTIN, TX 78745-5281
(512) 472-4357
Mailing address
501 E OLTORF ST APT 218, AUSTIN, TX 78704-5625
(617) 935-4004

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1044681
TX

Other

Enumeration date
02/15/2024
Last updated
02/15/2024
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