Purcell, Jannine

Purcell, Jannine is an individual health care provider with primary practice located at 910 E Houston St Ste 550 , Tyler TX 75702-8366. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Purcell, Jannine can be contacted via phone (903) 510-8718.

Contact Information

Primary practice address
910 E Houston St Ste 550 Tyler TX 75702-8366
Phone: (903) 510-8718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0327 South Dakota

Profile Details

NPI number 1184660086
LBN Legal business name Purcell, Jannine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 12th, 2016 - about 8 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 1184660086 NPPES
Texas Other 75-2616977--008 TRICARE
Texas Other P01635758 TRICARE
Texas MEDICAID 359051501 TRICARE
Texas Other 8979NU TRICARE

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