Healthcare Provider Details

I. General information

NPI: 1346612769
Provider Name (Legal Business Name): FENI STANLEY JOHN RN-FNP, AGACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2015
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5308 N GALLOWAY AVE STE 201
MESQUITE TX
75150-1125
US

IV. Provider business mailing address

440 FENWICK DR
SUNNYVALE TX
75182-3222
US

V. Phone/Fax

Practice location:
  • Phone: 469-800-3200
  • Fax:
Mailing address:
  • Phone: 972-203-8096
  • Fax: 972-203-8096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP129044
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2021161511
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: