Individual provider · Type 1 NPI
Jacqueline Louise Wellborn
Family Nurse Practitioner · Hico, TX
NPI number
1871258152
Active
Practice location
104 S Walnut St
Hico, TX 76457
Fax (866) 264-2163
Mailing address
400 N Brown St
Hamilton, TX 76531-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 883588 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 2021118463 (TX) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Hico
About NPI 1871258152
Jacqueline Louise Wellborn's National Provider Identifier is 1871258152, issued on Nov 2, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hico, TX. The record was last updated on Aug 14, 2023.