MRS. JENNIFER R RILEY


Address: Cvs N. Lamar & Braker # 7442, 11300 North Lamar Blvd., Austin, TX 78753
Phone: 5128356751

MRS. JENNIFER R RILEY (NPI# 1780814434) 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) 1780814434
Entity Type Individual
Full Name MRS. JENNIFER R RILEY
Credential APRC-C
Practice Address Cvs N. Lamar & Braker # 7442
11300 North Lamar Blvd.
Austin
TX 78753
Mailing Address 12113 Metric Blvd
Apt 1124
Austin
TX 78758-8680
Practice Telephone 5128356751
Mailing Telephone 5127759422
Enumeration Date 2009-07-15
Last Update Date 2011-11-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
705919 TX Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address CVS N. LAMAR & BRAKER # 7442
11300 NORTH LAMAR BLVD.
City AUSTIN
State TX
Zip Code 78753

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NPI Name Taxonomy Address Enumeration
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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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Competitor

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City AUSTIN
Zip Code 78753

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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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