Individual
LILYMIT MOKTAN JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
741 PLUMMER RD, HUNTSVILLE, AL 35806-3815
(552) 380-7409
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(972) 715-3800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-122814
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-122814
AL
363LA2200X
Adult Health Nurse Practitioner
1-12814
AL
Other
Enumeration date
06/16/2016
Last updated
09/20/2021
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