Provider Demographics
NPI:1497508378
Name:JAMAL, AFSHEEN AMYN (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:AFSHEEN
Middle Name:AMYN
Last Name:JAMAL
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 ADMINISTRATION DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-2098
Mailing Address - Country:US
Mailing Address - Phone:817-372-0199
Mailing Address - Fax:
Practice Address - Street 1:304 ADMINISTRATION DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-2098
Practice Address - Country:US
Practice Address - Phone:940-898-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-09
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1157177363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily