Individual
CASSIDY JEANNETTE LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
6809 SLIDE RD, LUBBOCK, TX 79424-1517
(806) 771-7257
(806) 788-0853
Mailing address
5219 CITY BANK PKWY, SUITE 35, LUBBOCK, TX 79407-3544
(806) 782-0206
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
758751
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP122355
TX
Other
Enumeration date
07/24/2012
Last updated
01/21/2019
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