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NPI Code Detail

MEDICARE: JENNIFER GREGG MCINTYRE APRN-BC

MEDICARE: JENNIFER GREGG MCINTYRE APRN-BC
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
1363L00000XNurse PractitionerRN211545GA
2363LF0000XFamily Nurse Practitioner53-83417-121KS
3363LF0000XFamily Nurse Practitioner2024030697MO
4363LF0000XFamily Nurse Practitioner11033589FL
5363LF0000XFamily Nurse Practitioner36769TN
6363LF0000XFamily Nurse Practitioner29533SC
7363LF0000XFamily Nurse Practitioner0024192009VA
8363LF0000XFamily Nurse PractitionerR857047MS
9363LF0000XFamily Nurse Practitioner879772NV
10363LF0000XFamily Nurse Practitioner14074980-4405UT
11363LF0000XFamily Nurse Practitioner0102559CO
12363LF0000XFamily Nurse Practitioner1070407TX

General Provider Information

NPI Number : 1376729921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER GREGG MCINTYRE APRN-BC
Provider Business Mailing Address
First Line : 6608 E HILL DR
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4336
Country : US
Telephone Number : 678-833-6899
Fax Number : 770-460-4045
Provider Business Practice Location Address
First Line : 5033 W HIGHWAY 290
Second Line :
City : AUSTIN
State : TX
Zip : 78735-6751
Country : US
Telephone Number : 512-265-8980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 03/04/2025

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