Individual provider · Type 1 NPI
Justine Self, FNP
Family Nurse Practitioner · Round Rock, TX
NPI number
1104303205
Active
Practice location
4681 College Park
Round Rock, TX 78665-1526
Mailing address
7000 N. Mopac Expy, Ste #420
Austin, TX 78731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP138188 (TX) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1104303205
Justine Self, FNP's National Provider Identifier is 1104303205, issued on Jul 23, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Round Rock, TX. The record was last updated on Jul 23, 2018.