Individual
JAMIE MICHELLE DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
727 SMITH LN, BRUCEVILLE, TX 76630-3410
(254) 723-5343
Mailing address
727 SMITH LN, BRUCEVILLE, TX 76630-3410
(254) 723-5343
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
187928
TX
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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