Individual provider · Type 1 NPI
Jannie Wong, NP
Adult Health Nurse Practitioner · Ennis, TX
NPI number
1225515000
Active
Practice location
1905 W Ennis Ave Ste 303
Ennis, TX 75119-3626
Mailing address
2281 Olympia Dr Ste 100
Flower Mound, TX 75028-1857
Other practice locations
- 1905 W Ennis Ave Ste 303, Ennis, TX 75119-3626 · (469) 256-0343
- 1905 W Ennis Ave Ste 303, Ennis, TX 75119-3626 · (469) 256-0343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138114 (TX) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP138114 (TX) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1225515000
Jannie Wong, NP's National Provider Identifier is 1225515000, issued on Jul 24, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ennis, TX. The record was last updated on Jan 5, 2024.