Individual provider · Type 1 NPI

Jeffrey Judge Ketzle, A.C.N.P.

Acute Care Nurse Practitioner · Plano, TX

NPI number 1972691004 Active

Practice location

4708 Alliance Blvd, Suite 475
Plano, TX 75093-5340

Call (972) 964-8500 Map

Mailing address

4537 Eldorado Dr
Plano, TX 75093-5406

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	709638 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1972691004

Jeffrey Judge Ketzle, A.C.N.P.'s National Provider Identifier is 1972691004, issued on Oct 11, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Plano, TX. The record was last updated on Jan 13, 2022.