Individual
JANQUILYN DRIVER MERIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
618 N MAIN ST, CORSICANA, TX 75110-3028
(903) 872-2151
(903) 872-0126
Mailing address
PO BOX 518, CORSICANA, TX 75151-0518
(903) 872-2151
(903) 872-0126
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
654264
TX
363LF0000X
Family Nurse Practitioner
F0402043
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005691305
—
TX
01
—
00Y226
MEDICARE GROUP
TX
01
—
DG9311
RAILROAD MEDICARE GROUP
TX
01
—
P0046391
RAILROAD MEDICARE
TX
Enumeration date
03/19/2007
Last updated
04/18/2022
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