Individual
JENNIFER SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1330 W MAIN ST, DENISON, TX 75020-3440
(903) 815-3647
Mailing address
1330 W MAIN ST, DENISON, TX 75020-3440
(903) 815-3647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
982529
TX
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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