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NPI Code Detail

MEDICARE: JENINE SORISANTOS FNP-C

MEDICARE: JENINE SORISANTOS 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 Practitioner1229112TX

General Provider Information

NPI Number : 1427994623
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENINE SORISANTOS FNP-C
Provider Business Mailing Address
First Line : 6801 OAKMONT BLVD STE 102
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3903
Country : US
Telephone Number : 866-367-8768
Fax Number :
Provider Business Practice Location Address
First Line : 6801 OAKMONT BLVD STE 102
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3903
Country : US
Telephone Number : 866-367-8768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “ JENINE SORISANTOS FNP-C” Practice Location

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