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Individual

MARIAN JEANNE STONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
411 EAST JEFFERSON, WAXAHACHIE, TX 75165
(972) 923-2440
(972) 923-2445
Mailing address
411 EAST JEFFERSON, WAXAHACHIE, TX 75165
(972) 923-2440
(972) 923-2445

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
423807
TX
363LF0000X
Family Nurse Practitioner
423807
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148646603
TX
05
148646605
TX
05
148646606
TX
05
148646607
TX
05
148646608
TX
Enumeration date
07/15/2005
Last updated
10/04/2011
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