Individual
MRS. JENNIFER JEANNINE CHOATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2808 SHADY GROVE DR, BEDFORD, TX 76021-4204
(580) 235-1497
Mailing address
2808 SHADY GROVE DR, BEDFORD, TX 76021-4204
(580) 235-1497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
896222
TX
163W00000X
Registered Nurse
89982
OK
363L00000X
Nurse Practitioner
Primary
AP133159
TX
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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