MEDICARE: ANGELA RENEE JAEGER-CHAPMAN MSN, RN, FNP-BC

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	363LF0000X	Family Nurse Practitioner	AP118825	TX

General Provider Information

NPI Number	:	1174951321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA RENEE JAEGER-CHAPMAN MSN, RN, FNP-BC

Provider Business Mailing Address
First Line	:	1412 MAY ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-7639
Country	:	US
Telephone Number	:	817-702-2450
Fax Number	:	817-702-8445

Provider Business Practice Location Address
First Line	:	2500 CIRCLE DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76119-8138
Country	:	US
Telephone Number	:	817-702-1100
Fax Number	:	817-534-0729

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

Provider Enumeration Date	:	10/25/2013
Last Update Date	:	05/10/2018

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