JENNIFER REBECCA MERLENE


Address: 3003 Stonebrook Pkwy, Frisco, TX 75034-1310
Phone: 4636336408

JENNIFER REBECCA MERLENE (NPI# 1801495452) 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) 1801495452
Entity Type Individual
Full Name JENNIFER REBECCA MERLENE
Credential RN, BSN
Practice Address 3003 Stonebrook Pkwy
Frisco
TX 75034-1310
Mailing Address 7000 Barbican Dr
Plano
TX 75025-5700
Practice Telephone 4636336408
Mailing Telephone 8049379545
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SS0200X Clinical Nurse Specialist
Specialization: School
868702 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TX BON LICENSE 868702 01

Office Location

Street Address 3003 STONEBROOK PKWY
City FRISCO
State TX
Zip Code 75034-1310

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Taxonomy Information

Taxonomy Code 364SS0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization School

Taxonomy Definition

Definition to come...

Competitor

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City FRISCO
Zip Code 75034

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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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