Jlyle Medical Clinic PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Caldwell, TX
NPI 1669934774 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1669934774
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- JLYLE MEDICAL CLINIC PLLC
- Practice address
- 501 N Stone St
Caldwell, TX 77836-1134 - Phone
- (979) 567-8500
- Fax
- (979) 567-8500
- NPI assigned
- Apr 5, 2019
- Organization subpart
- No
Authorized official
- Name
- Shirley Levenson
- Title
- Owner
- Phone
- (512) 774-0288
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
501 N Stone St
Caldwell, TX 77836-1134
Mailing address
501 N Stone St
Caldwell, TX 77836-1134
Phone (979) 567-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159748601 | Medicaid | TX |
Other providers in Caldwell, TX
- Kimberly Allison Glidewell
- Shelly Dawn Hitchcock
- Toni Rae Ingalsbe
- J Scott Chennault, D.O.
- Shawn David Jensen
- Elizabeth Prewitt Johnson
- Joseph Bennett Jones
- Marsha Kocurek
- Elza Leroy Kutch
- Kristel Dawn Leubner
All providers in Caldwell, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.