Provider Demographics
NPI:1841307741
Name:MUELLER, JUANITA LYNN (WHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:LYNN
Last Name:MUELLER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 N. CALAIS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090
Mailing Address - Country:US
Mailing Address - Phone:903-893-1116
Mailing Address - Fax:903-893-0335
Practice Address - Street 1:3305 N. CALAIS
Practice Address - Street 2:SUITE 200
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090
Practice Address - Country:US
Practice Address - Phone:903-893-1116
Practice Address - Fax:903-893-0335
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX630357363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology