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NPI Code Detail

MEDICARE: JENE E BUTLER NP

MEDICARE: JENE E BUTLER NP
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 Practitioner697258TX
2363LF0000XFamily Nurse PractitionerAP117232TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1807N01OTHERTXBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3P00925353OTHERTXRAILROAD
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891951547
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENE E BUTLER NP
Provider Business Mailing Address
First Line : 5294 BELT LINE RD STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-7571
Country : US
Telephone Number : 214-785-2200
Fax Number :
Provider Business Practice Location Address
First Line : 5294 BELT LINE RD STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-7571
Country : US
Telephone Number : 214-785-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 12/12/2025

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