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NPI Code Detail

MEDICARE: MS. JENNIFER KAY-BERENE KLEIN FNP

MEDICARE: MS. JENNIFER KAY-BERENE KLEIN 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
1363LF0000XFamily Nurse Practitioner711619TX

General Provider Information

NPI Number : 1669517033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER KAY-BERENE KLEIN FNP
Provider Business Mailing Address
First Line : 3900 JUNIUS ST STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75246-1602
Country : US
Telephone Number : 972-807-7370
Fax Number : 214-421-1119
Provider Business Practice Location Address
First Line : 219 SUNSET AVE STE 116A
Second Line :
City : DALLAS
State : TX
Zip : 75208-4531
Country : US
Telephone Number : 972-807-7370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 11/30/2022

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