Registry record
- NPI
- 1104303205
- Profession
- Nurse Practitioner (NP)
- Specialty
- Family Nurse Practitioner (363LF0000X)
- Practice address
- 4681 College Park
Round Rock, TX 78665 - Phone
- 5126711100
- In the registry since
- July 23, 2018
- Last NPPES update
- July 23, 2018
- Sole proprietor
- No
- License
- AP138188 (TX)
At this location
2 other providers in our data list 4681 College Park, Round Rock as a practice address:
- Mr. Robert Dahn McCauley, NP
Acute Care Nurse Practitioner · NPI 1144569450
- Donna Lou Willemsen, NP
Family Nurse Practitioner · NPI 1760032098
In context
The NPI number of Justine Self is 1104303205. They are a Family Nurse Practitioner in Round Rock, Texas.
Justine Self is one of 159 Family Nurse Practitioners in Round Rock and one of 22,499 across Texas in our data. Round Rock ranks #15 among Texas cities in our dataset, with 530 NP and PA providers.
The NPI has been in the federal registry for 7 years, since July 23, 2018.
Frequently asked questions
What is NPI 1104303205?
NPI 1104303205 is the 10-digit National Provider Identifier assigned to Justine Self, a Family Nurse Practitioner practicing in Round Rock, Texas. The record has been in the NPPES registry since July 23, 2018.
How do I verify this provider?
Cross-check NPI 1104303205 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license AP138188 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as July 23, 2018. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.