Justin Hillary Timmons in Tyler - Family

Justin Hillary Timmons - NPI 1093916017

Justin Hillary Timmons is a Family in Tyler, Texas. Justin Hillary Timmons practices all healthcare services and medical treatments related to Family. The NPI Number for Justin Hillary Timmons is 1093916017. The last update date is 2019-09-11.

Justin Hillary Timmons's current location address is 800 E Dawson St, Tyler, Texas. You can contact this provider via phone number 9036064262. The mailing address for Justin Hillary Timmons is 800 E Dawson St, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Justin Hillary Timmons
Address 800 E Dawson St, Tyler, Texas
Phone Number 9036064262
Fax Number
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1093916017
Provider Enumeration Date 2007-05-29
Last Updated Date 2019-09-11

Provider Mailing Address Detail

Address 800 E Dawson St
City Tyler
State Texas (TX)
Post Code 75701
Phone Number 9036064262
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 678709
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
194368005 TX --
P02270236 TX MEDICARE RAIL ROAD
810736 TX MEDICARE
8KZ659 TX BCBS
194368010 TX --
810717 TX MEDICARE
8KU823 TX BCBS
P02270214 TX MEDICARE RAIL ROAD

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FAQs about Justin Hillary Timmons

What is the unique 10-digit identifier code assigned to Justin Hillary Timmons by the Centers for Medicare & Medicaid Services?

The Justin Hillary Timmons has been issued the NPI (National Provider Identifier) 1093916017 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Justin Hillary Timmons is physically located?

The Justin Hillary Timmons is physically situated at the following address: 800 E Dawson St, Tyler, TX, 75701.

What is Justin Hillary Timmons's specialized field of practice, and what is the corresponding taxonomy classification code?

The Justin Hillary Timmons's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Justin Hillary Timmons receive its 1093916017 assignment from the Centers for Medicare & Medicaid Services?

The Justin Hillary Timmons was assigned its 1093916017 by the Centers for Medicare & Medicaid Services on 2007-05-29.

When was the information regarding Justin Hillary Timmons most recently updated?

The details pertaining to the Justin Hillary Timmons, including its address, specialty, and other relevant information, were last refreshed on 2019-09-11.

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