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1154771228
JENNIFER EATHERLY
PARIS, TX
NPI
1154771228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP131104)
Enumeration Date
2016-06-20
Last Update Date
2022-07-21
Business Address
-- JENNIFER EATHERLY MSN, APRN, NP-C
875 S COLLEGIATE DR
PARIS, TX 75460-6305
Phone number: 903-785-8857
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Mailing Address
-- JENNIFER EATHERLY MSN, APRN, NP-C
PO BOX 911230
DALLAS, TX 75391-1230
Phone number: 972-997-8000
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