Individual
ABIGAIL GRACE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC, NP-C
Contact information
Practice address
1170 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 329-6263
Mailing address
1170 N CARROLL AVE, SOUTHLAKE, TX 76092-5306
(817) 329-6263
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1056599
TX
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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