Individual
JENNIFER NIOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 705-0070
Mailing address
1312 KIRKLAND RD, LUFKIN, TX 75904-1591
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
177513
TX
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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