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General NPI Number Information
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NPI Number | 1548631195
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Entity Type | Individual
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Provider Name | JENESSA MCKRAY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 742 E HWY 121
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City | LEWISVILLE
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State | TX
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Zip | 75057-4113
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Country | US
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Telephone | 469-356-2734
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Fax | 469-960-2909
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Provider Business Mailing Address
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Address Line | 5454 SURREY PATH STE 201
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City | FRISCO
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State | TX
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Zip | 75034-9582
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Country | US
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Telephone | 801-718-6292
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP129105
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP129105
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | AP129105
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License Number State | TX
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