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NPI Code Detail

MEDICARE: MRS. AILEY ANN FOLSOM RN, FNP-C

MEDICARE: MRS. AILEY ANN FOLSOM RN, FNP-C
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 PractitionerAP112959TX

General Provider Information

NPI Number : 1578557005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AILEY ANN FOLSOM RN, FNP-C
Provider Business Mailing Address
First Line : 3517 SW WILSHIRE BLVD
Second Line :
City : JOSHUA
State : TX
Zip : 76058-6159
Country : US
Telephone Number : 817-447-1151
Fax Number : 817-529-8927
Provider Business Practice Location Address
First Line : 3517 SW WILSHIRE BLVD
Second Line :
City : JOSHUA
State : TX
Zip : 76058-6159
Country : US
Telephone Number : 817-447-1151
Fax Number : 817-529-8927
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 10/11/2021

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