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NPI Code Detail

MEDICARE: JENNA L GRAF FNP

MEDICARE: JENNA L GRAF FNP
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
1363L00000XNurse PractitionerAP136610TX
2363LF0000XFamily Nurse PractitionerAP136610TX

General Provider Information

NPI Number : 1629567037
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA L GRAF FNP
Provider Business Mailing Address
First Line : PO BOX 733784
Second Line :
City : DALLAS
State : TX
Zip : 75373-3784
Country : US
Telephone Number : 682-885-6483
Fax Number : 682-885-6121
Provider Business Practice Location Address
First Line : 1500 W ROSEDALE ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-7403
Country : US
Telephone Number : 682-885-3426
Fax Number : 682-885-7699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2018
Last Update Date : 02/24/2023

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