JENA DECANTER

TYLER, TX
NPI1215306584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP129001)
Enumeration Date2015-09-17
Last Update Date2022-06-03
Business Address
JENA DECANTER FNP
11980 STATE HIGHWAY 64 E STE G
TYLER, TX 75707-2541
Phone number: 903-650-8619
Mailing Address
JENA DECANTER FNP
11980 STATE HIGHWAY 64 E STE G
TYLER, TX 75707-2541
Phone number: 903-650-8619
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