Healthcare Provider Details

I. General information

NPI: 1386838886
Provider Name (Legal Business Name): JONETTE P ALBRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JONETTE PHILPOT ALBRIGHT NP

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N I 35 FRONTAGE RD
LORENA TX
76655
US

IV. Provider business mailing address

3111 SARITA CV
BELTON TX
76513-8133
US

V. Phone/Fax

Practice location:
  • Phone: 254-751-1600
  • Fax:
Mailing address:
  • Phone: 214-538-2023
  • Fax: 813-864-4436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number254179
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: