MEDICARE: MS. JENNIFER HOPE MUSGRAVE RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WE0003X	Emergency Registered Nurse	1136153	TX

General Provider Information

NPI Number	:	1225966468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER HOPE MUSGRAVE RN

Provider Business Mailing Address
First Line	:	704 E WARING ST APT 256
Second Line	:
City	:	DAYTON
State	:	TX
Zip	:	77535-1868
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12950 EAST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77015-5710
Country	:	US
Telephone Number	:	713-330-3887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2026
Last Update Date	:	05/09/2026

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