Individual
JILL SUZANNE WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3501 N MACARTHUR BLVD STE 500, IRVING, TX 75062-3675
(972) 256-3700
(866) 630-6348
Mailing address
3501 N MACARTHUR BLVD STE 500, IRVING, TX 75062-3675
(972) 256-3700
(866) 630-6348
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP108376
TX
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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