Individual
JOYCE LOUISE KENEBREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1201 S SHERMAN ST, SUITE 201, RICHARDSON, TX 75081-6507
(972) 925-9087
Mailing address
7251 LAGUNA, GRAND PRAIRIE, TX 75054-0138
(832) 549-0984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
756942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312230101
—
TX
Enumeration date
10/02/2012
Last updated
04/25/2017
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