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NPI Code Detail

MEDICARE: JENNIFER HAN FNP

MEDICARE:   JENNIFER  HAN  FNP
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
1363LF0000XFamily Nurse Practitioner1193320TX

General Provider Information

NPI Number : 1144015439
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HAN FNP
Provider Business Mailing Address
First Line : 4401 AVEBURY DR
Second Line :
City : PLANO
State : TX
Zip : 75024-7334
Country : US
Telephone Number : 972-679-0422
Fax Number :
Provider Business Practice Location Address
First Line : 1111 S MAIN ST APT 1208
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-6215
Country : US
Telephone Number : 972-679-0422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 04/09/2025

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Directions to “ JENNIFER HAN FNP” Practice Location

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