MARLO JEFFREY (NPI# 1508473794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508473794 |
| Entity Type | Individual |
| Full Name | MARLO JEFFREY |
| Credential | AGACNP |
| Practice Address |
1441 N Beckley Ave Dallas TX 75203-1201 |
| Mailing Address |
6857 Younger Dr The Colony TX 75056-3519 |
| Practice Telephone | 2149478181 |
| Mailing Telephone | 9723103362 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1012021 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1441 N BECKLEY AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75203-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972500395 | Alan Roach | Pharmacist | 1441 N Beckley Ave, Methodist Hospital of Dallas, Dallas, TX 75203-1201 | 2005-06-30 |
| 1740881648 | Joan Kaminar | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-11-06 |
| 1457967523 | Misty Whitmire | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-23 |
| 1073127379 | Shurekkia Shantrice Hudgen | Registered Nurse | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-09-03 |
| 1134731193 | Cynthia Nachae Wrenn | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-08-20 |
| 1609490036 | Emily Nicole Seymour | Nurse Practitioner | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-06-01 |
| 1992328983 | Rachel Mentzel | Physical Therapist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-05-25 |
| 1891316204 | Pooja Dasari | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-27 |
| 1891315669 | Bobby Palmos | Surgery | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-22 |
| 1780204628 | Akash Patel | Student in an Organized Health Care Education/Training Program | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386264125 | Dylan Lopez | Internal Medicine | Methodist Health System, Methodist Dallas Medical Center 1441 N. Beckley Ave., Dallas, TX 75203 | 2020-04-22 |
| 1902303183 | Sarah Mcferon | Nurse Practitioner | 1411 N. Beckley Ave, Pavilion IIi Suite 268, Dallas, TX 75203 | 2018-04-12 |
| 1659727030 | Kathy Lightsey | Counselor | 1836 Berwick Ave, Dall, TX 75203 | 2016-05-04 |
| 1659712453 | Maura M Mcglynn | Occupational Therapist | 1520 North Beckley Ave 1033, Dallas, TX 75203 | 2013-07-10 |
| 1093153454 | Adrienne Workman | Internal Medicine | 1441 North Beckley Avenue, Dallas, TX 75203 | 2013-06-07 |
| 1851642490 | April Rebecca Meras | Nurse Practitioner | 610 E Jefferson Blvd Ste 110, Dallas, TX 75203 | 2012-09-22 |
| 1699081612 | East Run Management, Ltd. Company | Alzheimer Center (Dementia Center) | 2653 Cedar Crest Blvd, Dallas, TX 75203 | 2010-08-27 |
| 1538471305 | Preetivi Ellis | Internal Medicine | 1441 N Beckley Ave Fl 4, Dallas, TX 75203 | 2010-07-09 |
| 1306085378 | Maggie Fardella | Counselor | 201 E 9th St, Dallas, TX 75203 | 2009-02-13 |
| 1811159122 | Maryam Raza Md Pa | Internal Medicine | 1441 N. Beckley, Dallas, TX 75203 | 2008-06-27 |
| Find all providers in zip 75203 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083077 | Renee Mieselle Lies | Nurse Practitioner | 2602 Mckinney Ave Ste 115, Dallas, TX 75204-0727 | 2020-08-11 |
| 1518592534 | Raven Aravind | Nurse Practitioner | 1900 Caddo Street, Number 4, Dallas, TX 75204-4223 | 2020-03-10 |
| 1366090417 | Maria Whitney Nance | Nurse Practitioner | 7777 Forest Ln Ste D308, Dallas, TX 75230-2571 | 2019-09-02 |
| 1336708361 | Sunny Dedmon | Nurse Practitioner | 3225 Turtle Creek Blvd Apt 520, Dallas, TX 75219-5461 | 2019-06-12 |
| 1306401419 | Quatina Lasha Rivers-fleming | Nurse Practitioner | 522 Ivy Chase Loop, Dallas, GA 30157-0946 | 2019-05-03 |
| 1679136220 | Marvise Ijeoma Oduagu | Nurse Practitioner | 305 W Commerce St Apt 336, Dallas, TX 75208-1985 | 2019-04-19 |
| 1851860365 | Yoon Jung Ra | Nurse Practitioner | 2610 Allen St Apt 5410, Dallas, TX 75204-2447 | 2018-11-14 |
| 1134696453 | Mitchell Grayson Kelly | Nurse Practitioner | 5323 Harry Hines Blvd Mailcode 8590, Dallas, TX 75390-0001 | 2018-10-24 |
| 1710411822 | Latosca Brunner | Nurse Practitioner | 221 W Beckley Blvd, Pavilion 2 Suite 929, Dallas, TX 75202 | 2017-04-14 |
| 1376900746 | Lashandra Gray | Nurse Practitioner | 9111 Prairie Bluff Dr, Dallas, TX 75227-5245 | 2016-01-15 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.