Individual provider · Type 1 NPI
Jamie K. Modrall, FNP
Family Nurse Practitioner · Mesquite, TX
NPI number
1336169002
Active
Practice location
18601 Lyndon B Johnson Fwy Ste 315
Mesquite, TX 75150-5612
Fax (972) 686-1798
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 650239 (TX) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1336169002
Jamie K. Modrall, FNP's National Provider Identifier is 1336169002, issued on Jul 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mesquite, TX. The record was last updated on Nov 7, 2012.