Individual
JAITHA LUKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 FOXDALE LN, SUNNYVALE, TX 75182-2615
(469) 968-3849
Mailing address
211 FOXDALE LN, SUNNYVALE, TX 75182-2615
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1204568
TX
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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