Organization
ADVANCED FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA TRISTAN NP (OWNER/PROVIDER)
(806) 584-3440
Entity
Organization
Contact information
Practice address
1901 MEDI PARK DR STE 2036, AMARILLO, TX 79106-2109
(806) 468-4317
Mailing address
1901 MEDI PARK DR STE 2036, AMARILLO, TX 79106-2109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/25/2018
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