Individual
JEAN C CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., A.C.N.P.
Contact information
Practice address
251 WESTPARK WAY STE 210, EULESS, TX 76040-3742
(682) 236-3656
(855) 813-9308
Mailing address
251 WESTPARK WAY STE 210, EULESS, TX 76040-3742
(682) 236-3656
(855) 813-9308
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
456277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088288803
—
TX
05
—
088288804
—
TX
05
—
088288805
—
TN
05
—
088288806
—
TX
Enumeration date
07/06/2006
Last updated
09/02/2014
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