Individual
MARLO JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1441 N BECKLEY AVE, DALLAS, TX 75203-1201
(214) 947-8181
Mailing address
6857 YOUNGER DR, THE COLONY, TX 75056-3519
(972) 310-3362
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1012021
TX
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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