Individual
MR. JEREMIAH WAYNE SLATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3737 NOEL RD #1600, DALLAS, TX 75240
(888) 513-6044
Mailing address
5 OAKRIDGE LN, FT WORTH, TX 76134-1041
(806) 283-2800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1109116
TX
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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