Most Relevant Information
Provider Data
| NPI Number: | 1003693094 |
| Provider Name: | JILLIAN NICOLE TATE FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1135946 |
Most Important Dates
| Enumeration Date: | 09/12/2023 |
| Last Updated: | 09/22/2023 |
Provider Practice Location
821 JEFFEE DR
KERMIT
TX
797454696
Practice Location Phone/Fax
| Phone: | 4325868299 |
| Fax: |
Provider Mailing Location
6716 COMMONWEALTH RD
MIDLAND
TX
797063177
Provider Mailing Phone/Fax
| Phone: | 4053715938 |
| Fax: |