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Individual

JESSE BRYAN CREEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, FNP-C

Contact information

Practice address
4800 NE STALLINGS DR STE 109, NACOGDOCHES, TX 75965-1250
(936) 559-0700
(936) 559-0500
Mailing address
4800 NE STALLINGS DR STE 109, NACOGDOCHES, TX 75965-1250
(936) 559-0700
(936) 559-0500

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP144997
TX

Other

Enumeration date
02/07/2020
Last updated
02/07/2020
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