MEDICARE: WENDY ANN JENKS CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	502104	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01046402	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8416UC	OTHER	TX	BCBS FOR UAP KELLER ENDO, LLC
4	TXB147493	OTHER	TX	INDIVIDUAL PTAN FOR UAP KELLER ENDO, LLC

General Provider Information

NPI Number	:	1083898332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY ANN JENKS CRNA

Provider Business Mailing Address
First Line	:	5109 EMMERYVILLE LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6046
Country	:	US
Telephone Number	:	214-695-0737
Fax Number	:

Provider Business Practice Location Address
First Line	:	5109 EMMERYVILLE LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-6046
Country	:	US
Telephone Number	:	214-695-0737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	07/13/2017

Similar Medicare Providers

1770222028 — ANDREA JENNYS SUSTACHE MEDINA
Practice Location Address:

3813 PERIWINKLE DR
FORT WORTH, TX
76137-6046

Practice Phone: 787-983-4456
Practice Fax:

1356939524 — DR. TRACY MILLER PHARMD
Practice Location Address:

915 CENTRE AVE STE 4
FORT COLLINS, CO
80526-6046

Practice Phone: 970-221-0190
Practice Fax: 970-493-7680

1174190920 — TANYA GOLOVANOFF PHARMD, BCSCP
Practice Location Address:

915 CENTRE AVE STE 3
FORT COLLINS, CO
80526-6046

Practice Phone: 970-494-2130
Practice Fax: 970-494-2131

1114630852 — COLUMBINE POUDRE HOME CARE, LLC
Practice Location Address:

915 CENTRE AVE STE 2
FORT COLLINS, CO
80526-6046

Practice Phone: 970-482-5096
Practice Fax: 970-224-2518

1982476644 — WENDY HERNANDEZ CASTELLANO
Practice Location Address:

5941 NE 18TH AVE APT 5
FORT LAUDERDALE, FL
33334-6046

Practice Phone: 786-302-0502
Practice Fax:

1285597963 — ELIJAH PAGE
Practice Location Address:

5320 N TARRANT PKWY STE 250
FORT WORTH, TX
76244-5451

Practice Phone: 682-900-1444
Practice Fax:

Directions to “ WENDY ANN JENKS CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.