Individual
JILLIAN KATHERINE WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6500
(214) 456-2803
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6500
(214) 456-2803
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
561728
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP116838
TX
Other
Enumeration date
03/28/2011
Last updated
08/24/2023
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