Individual provider · Type 1 NPI

Jillian Katherine Waterbury, RN, MSN, CPNP

Pediatric Nurse Practitioner · Dallas, TX

NPI number 1215226451 Active

Practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Fax (214) 456-2803

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner	363LP0200X	561728 (TX)
Pediatric Nurse Practitioner Primary	363LP0200X	AP116838 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1215226451

Jillian Katherine Waterbury, RN, MSN, CPNP's National Provider Identifier is 1215226451, issued on Mar 28, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Aug 24, 2023.