MEDICARE: JESSICA BRACY-KAATZ APRN, WHNP-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	363LW0102X	Women's Health Nurse Practitioner	1032389	TX

General Provider Information

NPI Number	:	1336022375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA BRACY-KAATZ APRN, WHNP-BC

Provider Business Mailing Address
First Line	:	3819 AZURE LN
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-7902
Country	:	US
Telephone Number	:	202-355-5469
Fax Number	:

Provider Business Practice Location Address
First Line	:	7777 FOREST LN STE D1200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-2598
Country	:	US
Telephone Number	:	202-355-5469
Fax Number	:

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

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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