Individual
MARILYN R JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-3890
Mailing address
PO BOX 1044, MARBLE FALLS, TX 78654-1044
(830) 693-2706
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
245928
TX
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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