Individual
JILL WESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 WILLIAM D TATE AVE STE 300, GRAPEVINE, TX 76051-4326
(817) 885-5025
Mailing address
2800 WILLIAM D TATE AVE STE 300, GRAPEVINE, TX 76051-4326
(817) 885-5025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP143769
TX
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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