Individual
JILL CARTER SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA, BSN, CNOR
Contact information
Practice address
2504 RIDGE RD STE 202, ROCKWALL, TX 75087-2571
(972) 974-1017
(972) 772-9561
Mailing address
6363 S FM 549, 2504 RIDGE RD SUITE 202, ROCKWALL, TX 75032-5958
(214) 924-3324
(972) 772-9561
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
776311
TX
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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