Individual
JOMY JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2405 STONEWALL ST, GREENVILLE, TX 75401-3349
(903) 454-3300
Mailing address
829 YOSEMITE TRL, MESQUITE, TX 75149-7516
(469) 426-7046
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP143849
TX
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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