Individual
JAMIE PRIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
(325) 481-2394
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(325) 658-1511
(325) 481-8599
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
608728
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583571YKRY
PTIN MEDICARE
TX
01
—
8GY930
BCBS
TX
Enumeration date
06/18/2017
Last updated
07/21/2022
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