Oppermann, Juanita

Oppermann, Juanita is an individual health care provider with primary practice located at 120 Flag Lake Dr , Lake Jackson TX 77566-6292. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Oppermann, Juanita can be contacted via phone (979) 297-8800.

Contact Information

Primary practice address
120 Flag Lake Dr Lake Jackson TX 77566-6292
Phone: (979) 297-8800
Fax: (979) 297-0300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 668166 Texas

Profile Details

NPI number 1588803951
LBN Legal business name Oppermann, Juanita
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2009
Last updated Nov 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588803951 NPPES
Texas MEDICAID 201178501

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