Individual
MR. JEFFREY J GUILLORY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
837 N MAIN ST, STE 118, LUMBERTON, TX 77657-1018
(409) 755-7744
(409) 755-1924
Mailing address
837 N MAIN ST, STE 118, LUMBERTON, TX 77657-1018
(409) 755-7744
(409) 755-1924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
619053
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
619053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018945806
—
TX
Enumeration date
09/06/2005
Last updated
08/13/2009
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