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NPI Code Detail

MEDICARE: JEFFREY S PILETTE FNP

MEDICARE:   JEFFREY S PILETTE  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner647632TX

General Provider Information

NPI Number : 1033155270
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY S PILETTE FNP
Provider Business Mailing Address
First Line : 1910 ROSELAND BLVD
Second Line :
City : TYLER
State : TX
Zip : 75701-4246
Country : US
Telephone Number : 903-533-0644
Fax Number : 903-533-0441
Provider Business Practice Location Address
First Line : 1910 ROSELAND BLVD
Second Line :
City : TYLER
State : TX
Zip : 75701-4246
Country : US
Telephone Number : 903-533-0644
Fax Number : 903-533-0441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 08/12/2013

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Directions to “ JEFFREY S PILETTE FNP” Practice Location

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