Individual provider · Type 1 NPI
Jonathan Brice King, NP
Family Nurse Practitioner · Tyler, TX
NPI number
1174023352
Active
Practice location
721 Clinic Dr # A
Tyler, TX 75701-2043
Fax (903) 592-5288
Mailing address
PO Box 731912
Dallas, TX 75373-1912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP136612 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174023352
Jonathan Brice King, NP's National Provider Identifier is 1174023352, issued on Feb 14, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Jul 18, 2019.