Individual
CARLA PATRICIA JIMENEZ SANTILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7100
Mailing address
7777 FOREST LN, DALLAS, TX 75230-2571
(615) 373-7600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145064
TX
Other
Enumeration date
02/20/2020
Last updated
03/18/2020
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