Individual provider · Type 1 NPI

Jeevan Thamban

Primary Care Nurse Practitioner · Temple, TX

NPI number 1417512781 Active

Practice location

1901 Veterans Memorial Dr
Temple, TX 76504-7451

Mailing address

14402 W Bellfort St Apt 1135
Sugar Land, TX 77498-1834

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP141333 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1417512781

Jeevan Thamban's National Provider Identifier is 1417512781, issued on May 2, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Temple, TX. The record was last updated on May 2, 2019.