Individual
JACQUELINE I MBAABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 MISTY MESA TRL, MANSFIELD, TX 76063-4815
(682) 221-5628
Mailing address
111 MISTY MESA TRL, MANSFIELD, TX 76063-4815
(682) 221-5628
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1091139
TX
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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