JENIFER RANFT MALLOW


Address: 1441 N Beckley Ave Bldg 4th, Dallas, TX 75203-1201
Phone: 2149336615

JENIFER RANFT MALLOW (NPI# 1538689336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538689336
Entity Type Individual
Full Name JENIFER RANFT MALLOW
Other Name JENIFER LEIGH RANFT
Credential DNP, FNP-BC
Practice Address 1441 N Beckley Ave Bldg 4th
Dallas
TX 75203-1201
Mailing Address 5526 Stanford Ave
Dallas
TX 75209-4415
Practice Telephone 2149336615
Practice Fax Number 2149471925
Enumeration Date 2017-06-22
Last Update Date 2019-05-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP133892 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1441 N BECKLEY AVE BLDG 4TH
City DALLAS
State TX
Zip Code 75203-1201

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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
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1699376723 David James Wainwright Nurse Practitioner 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 2020-11-04
1528668860 Nicole Chadwick Nurse Practitioner 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 2020-10-27
1952901415 Melissa Green Nurse Practitioner 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 2020-10-26
1194324640 Busola Stella Amurawaiye Nurse Practitioner 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 2020-10-25
1164020350 Christina Wilder Nurse Practitioner 821 Allen Street Apt 424, Dallas, TX 75204 2020-10-11
1689288276 Chinyere Ezeh Nurse Practitioner 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 2020-09-01
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1679183172 Stacie Teresa Mccally Nurse Practitioner 4055 Valley View Lane, Dallas, TX 75022 2020-08-09
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Competitor

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City DALLAS
Zip Code 75203

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Dataset Information

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.

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