Healthcare Provider Details

I. General information

NPI: 1194264614
Provider Name (Legal Business Name): JAMIE BISHOP FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2017
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20208 STATE HIGHWAY 155 S
FLINT TX
75762-5600
US

IV. Provider business mailing address

PO BOX 846098
DALLAS TX
75284-6098
US

V. Phone/Fax

Practice location:
  • Phone: 903-825-6222
  • Fax: 903-825-6508
Mailing address:
  • Phone: 903-324-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP133177
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: