Individual
JANE TIJERINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
811 E AUSTIN ST, PARIS, TX 75460-7353
(903) 785-0338
(903) 785-5369
Mailing address
811 E AUSTIN ST, PARIS, TX 75460-7353
(903) 785-0338
(903) 785-5369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
443706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005330328
AETNA HEALTHCARE
TX
05
—
062643403
—
TX
01
—
8N8263
BLUE CROSS BLUE SHIELD OF TEXAS
TX
01
—
P00398109
RAILROAD MEDICARE
TX
Enumeration date
07/20/2006
Last updated
04/24/2008
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