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“Gerontology Nurse Practitioner” (Tyler, TX)

Location: Tyler, TX
Taxonomy: Gerontology Nurse Practitioner.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1053195982 — T'JUANIEQUA WIDEMAN AGACNP-BC
Practice Location Address:
800 E DAWSON ST
TYLER TX
75701-2036
Practice Phone: 903-593-8441
1285454009 — RADIANT MEDICAL CLINIC OF EAST TEXAS LLC
Practice Location Address:
3613 ROCK CREEK DR
TYLER TX
75707-1635
Practice Phone: 903-343-7480
1366899288 — JETA LAURIE BOWMAN AGNP
Practice Location Address:
520 DOUGLAS BLVD
TYLER TX
75702
Practice Phone: 903-606-1721
1982934766 — SANDRA A MOSBY RN, GNP-BS
Practice Location Address:
13851 COUNTY ROAD 194
TYLER TX
75703-6621
Practice Phone: 210-415-3189

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