Individual
MS. SANDRA F. DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7777 FOREST LN STE C833, DALLAS, TX 75230-2591
(972) 566-4591
(972) 566-6679
Mailing address
3209 LOCHAVEN DR, ROWLETT, TX 75088-2923
(214) 793-2288
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
764715
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
764715
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
764715
RN LICENSE
TX
01
—
AP122354
LICENSE
TX
Enumeration date
10/02/2012
Last updated
08/01/2024
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