Individual
MRS. JACINTA AMUCHE NKWONTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-2610
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1028320
TX
367500000X
Certified Registered Nurse Anesthetist
1371
MN
367500000X
Certified Registered Nurse Anesthetist
R 135680-5
MN
390200000X
Student in an Organized Health Care Education/Training Program
R-135168
MN
Other
Enumeration date
12/20/2013
Last updated
11/21/2024
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