Individual
JENNIFER HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 N GOLIAD ST, ROCKWALL, TX 75087-2726
(614) 260-1673
Mailing address
1600 PRESIDENT GEORGE BUSH HWY APT 35001, ROWLETT, TX 75088-1922
(614) 260-1673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.492493
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1159525
TX
Other
Enumeration date
01/12/2024
Last updated
06/27/2024
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