Individual
JELISA DURROH
Active
Individual
JELISA DURROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
AC008124
MD
363LW0102X
Women's Health Nurse Practitioner
Primary
1095185
TX
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1095185
TX
Other
Enumeration date
01/12/2024
Last updated
12/05/2025
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