Guillory, Jeffrey J

Guillory, Jeffrey J is an individual health care provider with primary practice located at 837 N Main St Ste 118, Lumberton TX 77657-1018. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Guillory, Jeffrey J can be contacted via phone (409) 755-7744.

Contact Information

Primary practice address
837 N Main St Ste 118 Lumberton TX 77657-1018
Phone: (409) 755-7744
Fax: (409) 755-1924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 619053 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 619053 Texas

Profile Details

NPI number 1740274778
LBN Legal business name Guillory, Jeffrey J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Aug 13th, 2009 - about 17 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 1740274778 NPPES
Texas MEDICAID 018945806

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