Jean Youngstrom Diebolt, RN FNP | |
157 Wall St, Tenaha, TX 75974-5413 | |
(936) 248-4673 | |
(936) 248-4646 |
Full Name | Jean Youngstrom Diebolt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 157 Wall St, Tenaha, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487667143 | NPI | - | NPPES |
164735601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 221153 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jean Youngstrom Diebolt, RN FNP Po Box 1584, Center, TX 75935-1584 Ph: (936) 248-4673 | Jean Youngstrom Diebolt, RN FNP 157 Wall St, Tenaha, TX 75974-5413 Ph: (936) 248-4673 |
Alix Claire Barr, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 157 Wall St, Tenaha, TX 75974 Phone: 936-591-8380 Fax: 936-598-4499 | |
Mrs. Janet Marie Haney, RN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 157 Wall St, Tenaha, TX 75974 Phone: 936-248-4673 Fax: 936-248-4646 |