Individual
MRS. JESSICA CHANDI LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2601 LAKESIDE PKWY STE 180, FLOWER MOUND, TX 75022-4291
(927) 874-0008
Mailing address
2601 LAKESIDE PKWY STE 180, FLOWER MOUND, TX 75022-4291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143501
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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