Individual
JENNA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2509 WALTHAM DR, GRAPEVINE, TX 76051-7161
(817) 300-5187
Mailing address
2509 WALTHAM DR, GRAPEVINE, TX 76051-7161
(817) 300-5187
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145069
TX
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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