Individual
BRUCEALYNEA JOY KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4101 WESLEY ST STE C, GREENVILLE, TX 75401-5635
(903) 454-8111
Mailing address
4101 WESLEY ST STE C, GREENVILLE, TX 75401-5635
(903) 454-8111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
707126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211527101
—
TX
05
—
211527102
—
TX
05
—
211527103
—
TX
Enumeration date
09/22/2009
Last updated
09/15/2010
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