Healthcare Provider Details

I. General information

NPI: 1346607264
Provider Name (Legal Business Name): JEREMY RINNER FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 HOSPITAL BLVD
GAINESVILLE TX
76240-2007
US

IV. Provider business mailing address

1900 HOSPITAL BLVD
GAINESVILLE TX
76240-2002
US

V. Phone/Fax

Practice location:
  • Phone: 940-612-8750
  • Fax:
Mailing address:
  • Phone: 940-612-8750
  • Fax: 940-668-2663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP130080
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: