Individual
JASI MARIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5621 OLD BULLARD RD APT 161, TYLER, TX 75703-4317
(903) 952-0109
Mailing address
5621 OLD BULLARD RD APT 161, TYLER, TX 75703-4317
(903) 952-0109
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
958752
TX
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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