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NPI Code Detail

MEDICARE: MR. JASON SCOTT TEMPLETON FNP-C

MEDICARE: MR. JASON SCOTT TEMPLETON FNP-C
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 Practitioner1020072TX

General Provider Information

NPI Number : 1245833193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON SCOTT TEMPLETON FNP-C
Provider Business Mailing Address
First Line : 4000 WEEKS PARK LN APT 155
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76308-3229
Country : US
Telephone Number : 940-867-2817
Fax Number :
Provider Business Practice Location Address
First Line : 1600 11TH ST
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76301-4388
Country : US
Telephone Number : 940-764-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 11/20/2020

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