Individual
AMELIA S JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
3702 21ST ST, LUBBOCK, TX 79410
(806) 795-2751
(806) 795-8464
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
734097
TX
363LF0000X
Family Nurse Practitioner
Primary
AP118514
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821327974
FIRSTCARE
TX
05
—
220025506
—
TX
01
—
380398YKT8
MEDICARE
TX
05
—
41100379
—
NM
01
—
8HV786
BCBS
TX
Enumeration date
12/21/2009
Last updated
12/14/2018
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