Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Jessada Lertdilok, FNP-C

Individual provider Family Nurse Practitioner · NPI 1720621071

Jeffrey Jessada Lertdilok, FNP-C is a Nurse Practitioner in Carrollton, Texas. Qualified in 2019, 7 years ago. Practices with Innovative Infusions LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4100 Fairway Dr Ste 320
Carrollton, TX 75010-6537
Phone: (972) 236-7608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP142915 (TX)

Record details

NPI number1720621071
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 18, 2019
Last updated in NPPESOctober 18, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Innovative Infusions Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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