| Theresa Nyae Fahnbulleh, | |
|
120 N Walnut St, Jefferson, TX 75657-1934 | |
| (903) 665-6131 | |
| Not Available |
| Full Name | Theresa Nyae Fahnbulleh |
|---|---|
| Gender | Female |
| Speciality | Licensed Vocational Nurse |
| Location | 120 N Walnut St, Jefferson, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033698873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 219826 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Nyae Fahnbulleh, Po Box 901, Jefferson, TX 75657-0901 Ph: () - | Theresa Nyae Fahnbulleh, 120 N Walnut St, Jefferson, TX 75657-1934 Ph: (903) 665-6131 |
Sherry Jo Lee, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Amiee Darlene Burks Elam, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Anissa Dawn Johnson-watson, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Daniqualon V Edwards, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Haley Morgan Calzada, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Paulette Powell, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 |