Individual
MRS. JENNY MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9 MEDICAL PKWY, PLAZA 4 STE. 301, DALLAS, TX 75234-7858
(972) 620-8100
(972) 620-8106
Mailing address
9 MEDICAL PKWY, PLAZA 4 STE. 301, DALLAS, TX 75234-7858
(972) 620-8100
(972) 620-8106
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
592056
TX
Other
Enumeration date
08/03/2009
Last updated
09/20/2010
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