Search › Texas › 363LF0000X
Jena Decanter, FNP
NPI 1215306584 · on the registry since 2015
Practice
- Address
- 11980 State Highway 64 E Ste G
Tyler, TX 75707 - Phone
- (903) 650-8619
- Fax
- (903) 650-8576
- Organisation at this address
- East Lake Medical, Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas