Individual provider · Type 1 NPI

Angela Jill Southern, FNP-BC

Family Nurse Practitioner · Temple, TX

NPI number 1073898540 Active

Practice location

2401 S 31st St
Temple, TX 76508-0001

Call (254) 724-2111 Map

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X653536 (TX)
Family Nurse Practitioner Primary 363LF0000XAP120998 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1073898540

Angela Jill Southern, FNP-BC's National Provider Identifier is 1073898540, issued on Oct 17, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Temple, TX. The record was last updated on Oct 30, 2020.