Individual
MS. JENNIFER REBECCA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1446 E TRINITY MILLS RD, CARROLLTON, TX 75006
(972) 810-0700
Mailing address
4413 SHADY LN, ROWLETT, TX 75089-3479
(469) 955-9593
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117529
TX
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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