Individual
ELIZABETH VIRGINIA JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(469) 291-3363
Mailing address
P.O. BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
958599
TX
Other
Enumeration date
09/12/2023
Last updated
01/19/2024
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