Individual
VICTORIA A JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
250 COUNTY ROAD 4311, HONDO, TX 78861-5035
(830) 931-7568
Mailing address
250 COUNTY ROAD 4311, HONDO, TX 78861-5035
(830) 931-7568
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1007960
TX
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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