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General NPI Number Information
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NPI Number | 1366963795
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Entity Type | Individual
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Provider Name | JENNIFER MARIE DESMOND
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Gender | Female
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7501 FANNIN ST STE 900A
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City | HOUSTON
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State | TX
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Zip | 77054-1938
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Country | US
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Telephone | 844-644-5687
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Fax | 888-898-9113
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Provider Business Mailing Address
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Address Line | 8121 TRAMORE
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City | THE COLONY
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State | TX
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Zip | 75056-3610
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Country | US
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Telephone | 972-765-9958
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP134441
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP134441
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License Number State | TX
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