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Individual

JESSICA BLANK CARR,APRN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN,NP

Contact information

Practice address
3410 TAFT BLVD, WICHITA FALLS, TX 76308-2036
(940) 397-4000
Mailing address
41 KENSINGTON DR., MOORE, OK 73160
(682) 593-1550

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
243011
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP143743
TX

Other

Enumeration date
10/28/2019
Last updated
08/01/2022
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