MEDICARE: JENNIFER ARACELI SCHWARZ AGPCNP-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
1	363LA2200X	Adult Health Nurse Practitioner	1072743	TX

General Provider Information

NPI Number	:	1487304390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ARACELI SCHWARZ AGPCNP-C

Provider Business Mailing Address
First Line	:	1001 12TH AVE STE 154
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3929
Country	:	US
Telephone Number	:	214-557-4111
Fax Number	:	972-972-8660

Provider Business Practice Location Address
First Line	:	1001 12TH AVE STE 154
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3929
Country	:	US
Telephone Number	:	214-557-4111
Fax Number	:	972-972-8660

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

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	09/25/2024

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