Individual
JEREMIAH R SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
319 INDUSTRIAL DR, LONGVIEW, TX 75602-4721
(903) 213-9120
Mailing address
319 INDUSTRIAL DR, LONGVIEW, TX 75602-4721
(903) 213-9120
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP137913
TX
Other
Enumeration date
07/03/2018
Last updated
08/07/2024
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