Individual
JILLIAN CAROL GREVENSTUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2639 HASELWOOD LN, ROUND ROCK, TX 78665-2362
(806) 252-5668
Mailing address
2639 HASELWOOD LN, ROUND ROCK, TX 78665-2362
(806) 252-5668
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1058042
TX
Other
Enumeration date
12/12/2021
Last updated
01/26/2022
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