Individual
MRS. JANNIE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1905 W ENNIS AVE STE 303, ENNIS, TX 75119-3626
(469) 256-0343
Mailing address
2281 OLYMPIA DR STE 100, FLOWER MOUND, TX 75028-1857
(469) 322-0089
(972) 852-7963
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP138114
TX
363LF0000X
Family Nurse Practitioner
AP138114
TX
Other
Enumeration date
07/24/2018
Last updated
01/05/2024
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