JESSICA RENAE CARR


Address: 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375
Phone: 8174473001

JESSICA RENAE CARR (NPI# 1609419134) 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) 1609419134
Entity Type Individual
Full Name JESSICA RENAE CARR
Credential NP
Practice Address 4232 Heritage Trace Pkwy
Fort Worth
TX 76244-5375
Mailing Address 3925 Tidball Dr
Fort Worth
TX 76244-7625
Practice Telephone 8174473001
Mailing Telephone 8179030768
Enumeration Date 2019-10-28
Last Update Date 2019-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
AP143743 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers JESSICA CARR

NPI Name Taxonomy Address Enumeration
1265069009 Jessica Raye Carr Student in an Organized Health Care Education/Training Program 6620 Via Del Oro Fl 2, San Jose, CA 95119-1392 2020-03-23
1225507528 Jessica Lauren Cherry Carr Nurse Practitioner 909 Big Hollow Rd, Blountville, TN 37617-6122 2018-11-15
1578894028 Jessica Lynn Carr Licensed Practical Nurse 2218 Burbank Rd, Wooster, OH 44691-2144 2010-01-22
1770088270 Jessica Carr Speech-Language Pathologist 10820 E 45th St Ste 101, Tulsa, OK 74146-3803 2018-03-27
1750894432 Jessica Ann Carr Student in an Organized Health Care Education/Training Program 223 Kalamazoo St, East Lansing, MI 48824-5400 2017-11-16
1366803744 Jessica Carr Case Manager/Care Coordinator 2325 Cerrillos Rd, Santa Fe, NM 87505-3373 2016-03-14
1497110407 Jessica Carr Counselor 622 Riverside Dr, Monroe, LA 71201-6211 2015-12-17
1366812794 Jessica Carr Nurse Practitioner 153 E Broadway Blvd, Jefferson City, TN 37760-2517 2015-09-28
1871843466 Jessica E Carr Physician Assistant 1850 Town Center Pkwy, Reston, VA 20190-3219 2012-09-11
1114208436 Jessica Carr Pharmacist 3220 Halifax Rd, South Boston, VA 24592-4908 2011-08-31

Office Location

Street Address 4232 HERITAGE TRACE PKWY
City FORT WORTH
State TX
Zip Code 76244-5375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932254679 Envision Imaging of North Fort Worth Radiology 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2007-01-24
1144704552 Dominique Dacus Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2018-09-20
1528542594 Erika Rodriguez Lozano Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2018-09-17
1962983767 Michelle Gay Mcmillan Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2018-08-28
1588166755 Laurence Saputra Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2018-03-05
1356859185 Tricia Tillman Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2018-01-15
1023528775 Cathleen Ricks Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2017-10-09
1275905937 Deann Harrison Nurse Practitioner 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2015-10-21
1750777850 Shawntee Desaray Goff Social Worker 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2015-04-15
1346639085 Constance Canada Counselor 4232 Heritage Trace Pkwy, Fort Worth, TX 76244-5375 2015-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773510 Aum Nitin Patel Optometrist 12584 N Beach Street #122, Keller, TX 76244 2020-09-07
1477178374 Trinity Spine and Orthopedics, Pllc Orthopaedic Surgery 4444 Heritage Trace, Suite 408, Keller, TX 76244 2020-06-16
1235778622 Hope Family Healthcare LLC Nurse Practitioner 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 2020-01-02
1104468917 Kylie Ann Montgomery Behavior Technician 12650 N Beach St Suite 146, Fort Worth, TX 76244 2019-10-14
1376193433 Ntkc - Dfw, Pllc Internal Medicine 10700 Victoria Ash Dr., Keller, TX 76244 2019-09-19
1629628532 Today Dental of Saginaw Pllc Dentist 1628 Basswood Blvd, Fort Worth, TX 76244 2019-09-13
1962050492 Precision Ambulatory Surgery Center, LLC Ophthalmology 9439 North Beach Street, Fort Worth, TX 76244 2019-08-28
1770145351 Texas Health Spine Surgery Center Alliance LLC Clinic/Center 10900 Founders Way, Suite 100, Fort Worth, TX 76244 2019-07-03
1770048720 Robin Jansen Occupational Therapy Assistant 4317 Oak Chase Dr, Keller, TX 76244 2019-02-04
1033687256 Marian Abibatu James Nurse Practitioner 4516 Jaylin St, Keller, TX 76244 2018-11-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386257814 Daniel Oyewusi Oyewole Nurse Practitioner 4051 Hunters Creek Dr, Fort Worth, TX 76123-2549 2020-08-25
1174147037 Ugbodu Ene Awoniyi Nurse Practitioner 4924 Cliburn Dr, Fort Worth, TX 76244-6130 2020-06-05
1346863925 Lynnetta Vanice Cheeks Nurse Practitioner 6101 Saddlepack Dr, Fort Worth, TX 76123-1591 2020-05-18
1073143160 Dorcas Mwangi Nurse Practitioner 4809 Campfire Ct, Fort Worth, TX 76244-7922 2020-01-17
1497390686 Chigane Abraham Nurse Practitioner 8609 Glenburne Dr, Fort Worth, TX 76131 2019-11-12
1457895666 Paul Geise Nurse Practitioner 3501 Ne Loop 820, #306, Fort Worth, TX 76137-2415 2016-12-06
1477005007 Amie Wolverton Riddle Nurse Practitioner 320 Silver Canyon Dr, Fort Worth, TX 76108-9612 2016-10-31
1659742211 Kamesha Roshun Mitchell Nurse Practitioner 3100 Hulen St, Fort Worth, TX 76107 2015-10-08
1255592424 Akosua Serwaa Obeng Nurse Practitioner 8949 Silent Brook Ln, Fort Worth, Fort Worth, TX 76244-4946 2008-06-20
1154518470 Dawn Dean Nurse Practitioner 124 Cooks Ln, Fort Worth, TX 76120-2016 2007-10-01
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Competitor

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City FORT WORTH
Zip Code 76244

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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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