Individual
JERI LYNNETTE JAQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
301 UNIVERSITY BLVD, ROUTE 1029, GALVESTON, TX 77555-1029
(409) 772-8218
Mailing address
301 UNIVERSITY BLVD, ROUTE 1029, GALVESTON, TX 77555-1029
(409) 772-8281
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
507641
TX
Other
Enumeration date
04/03/2007
Last updated
04/08/2011
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