Individual
BETHANY JOY ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
303 S HIGHWAY 78 STE 106, WYLIE, TX 75098-3915
(972) 801-9689
Mailing address
303 S HIGHWAY 78 STE 106, WYLIE, TX 75098-3915
(972) 801-9689
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129637
TX
Other
Enumeration date
11/18/2015
Last updated
11/24/2020
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