Organization
GREENVINE PSYCHIATRY AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE MARY JEFFERS APRN, PMHNP-BC (OWNER/PSYCHIATRIC NURSE PRACTITIONE)
(737) 231-0004
Entity
Organization
Contact information
Practice address
13740 N RESEARCH BLVD K2, AUSTIN, TX 78750-0780
(737) 231-0004
Mailing address
PO BOX 294, JARRELL, TX 76537-0294
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
06/02/2025
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