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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JILLIAN CAROL GREVENSTUK

Active Sole Proprietor

JILLIAN CAROL GREVENSTUK is a Critical Care Nurse Practitioner healthcare provider located in ROUND ROCK, Texas. NPI 1710646211 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse Practitioner · ROUND ROCK, TX

Registration Details

NPI Number
1710646211
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2021 (4.6961565717342 yrs)
Last Updated
Jan 26, 2022
License
1058042 (TX)
Sole Proprietor
Yes

Practice Information

Address
2639 HASELWOOD LN
ROUND ROCK, TX, 786652362
Browse TX providers · Browse ZIP 78665
Phone
8062525668
Primary Specialty
Critical Care Nurse Practitioner
363LC0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.