Individual provider · NPI-1

Blexy Jigi Abraham, APRN

Nurse Practitioner, Primary Care · Dallas, TX

NPI number1124574157
StatusActive
Last updated in NPPESDec 29, 2023

Details

NPI
1124574157
Entity type
Individual (NPI-1)
Name
Blexy Jigi Abraham
Credential
APRN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2016
Certification date
Dec 29, 2023
Last updated
Dec 29, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary CareAP131743TXYes
363LG0600X Nurse Practitioner, GerontologyAP131743TX

Other names

  • Blexy Susan Jose (Former Name)

Practice location

2121 S Buckner Blvd Ste 100
Dallas, TX 75227-8602

Phone 214-381-1187 · Fax 214-381-7213

Mailing address

2121 S Buckner Blvd Ste 100
Dallas, TX 75227-8602

Phone 214-381-1187 · Fax 214-381-7213

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