Individual
JONATHAN DUANE CREEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
120 S GRAND AVE STE 2, WAXAHACHIE, TX 75165-2273
(972) 938-0100
(972) 937-9073
Mailing address
120 S GRAND AVE STE 2, WAXAHACHIE, TX 75165-2273
(972) 938-0100
(972) 937-9073
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP140762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29397
RX AUTHORIZATION NUMBER
TX
01
—
AP140762
APRN
TX
Enumeration date
03/09/2019
Last updated
02/02/2020
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