Provider Demographics
NPI:1346739323
Name:JARAMILLO, DORA Y (RN,BSN,CDE)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:Y
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:RN,BSN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27901 S TAMM LN
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-2147
Mailing Address - Country:US
Mailing Address - Phone:956-357-4969
Mailing Address - Fax:
Practice Address - Street 1:27901 S TAMM LN
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78552-2147
Practice Address - Country:US
Practice Address - Phone:956-357-4969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-06
Last Update Date:2018-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX253224163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management