Individual
JANE A WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12221N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4009
(512) 901-3909
Mailing address
12221N MO PAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4009
(512) 901-3909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP126378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352085001
—
TX
Enumeration date
03/03/2008
Last updated
01/14/2016
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