Individual
MRS. ANITA SHARAN JESUDASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 ROY RIVERS RD, ELGIN, TX 78621-2072
(737) 200-6400
(737) 200-6405
Mailing address
10224 FOSSMOOR ST, AUSTIN, TX 78717-3822
(512) 376-9690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
620618
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP112602
TX
Other
Enumeration date
11/08/2006
Last updated
05/31/2023
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