Individual
MRS. JAMIE CAROL DARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
12174 N MOPAC EXPY, STE. A, AUSTIN, TX 78758-2910
(512) 833-7334
(512) 833-7333
Mailing address
12174 N MOPAC EXPY, STE. A, AUSTIN, TX 78758-2910
(512) 833-7334
(512) 833-7333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
734374
TX
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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