Individual
JEFFREY RALPH TWISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1630 E 6TH ST APT 1309, AUSTIN, TX 78702-0053
(323) 646-6007
Mailing address
1630 E 6TH ST APT 1309, AUSTIN, TX 78702-0053
(323) 646-6007
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
230360
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1180368
TX
Other
Enumeration date
08/22/2020
Last updated
12/06/2024
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