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NPI Code Detail

MEDICARE: JENNIFER ADAMS

MEDICARE:   JENNIFER  ADAMS
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 Practitioner1073036TX
2207RG0300XGeriatric Medicine (Internal Medicine) PhysicianM4304TX

General Provider Information

NPI Number : 1902546054
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ADAMS
Provider Business Mailing Address
First Line : PO BOX 642016
Second Line :
City : DALLAS
State : TX
Zip : 75264-2016
Country : US
Telephone Number : 210-756-5989
Fax Number : 210-568-4064
Provider Business Practice Location Address
First Line : 8210 WALNUT HILL LN STE 312
Second Line :
City : DALLAS
State : TX
Zip : 75231-4419
Country : US
Telephone Number : 214-238-3074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 10/20/2025

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Directions to “ JENNIFER ADAMS ” Practice Location

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