Individual
MRS. JACLYN LAUREN CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
16741 FM 1937, SAN ANTONIO, TX 78221-5367
(210) 287-4787
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1120702
TX
Other
Enumeration date
04/17/2023
Last updated
07/03/2023
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