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NPI Code Detail

MEDICARE: NATASHA JOLIVETTE NP

MEDICARE: NATASHA JOLIVETTE NP
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 Practitioner862499TX
2363LF0000XFamily Nurse PractitionerAP137583TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689155194
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA JOLIVETTE NP
Provider Business Mailing Address
First Line : 1720 OAK VILLAGE BLVD STE 200
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-7952
Country : US
Telephone Number : 682-321-7007
Fax Number : 682-321-7036
Provider Business Practice Location Address
First Line : 1720 OAK VILLAGE BLVD STE 200
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-7952
Country : US
Telephone Number : 682-321-7007
Fax Number : 682-321-7036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 04/20/2021

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Directions to “ NATASHA JOLIVETTE NP” Practice Location

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