Individual
JILL C GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEDIATRIC NP
Contact information
Practice address
601 FALL CREEK HWY, GRANBURY, TX 76049-7960
(817) 408-3600
Mailing address
601 FALL CREEK HWY, GRANBURY, TX 76049-7960
(817) 408-3600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1011620
TX
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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