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NPI Code Detail

MEDICARE: MRS. JENNIFER ANN WARRINGTON PA-C

MEDICARE: MRS. JENNIFER ANN WARRINGTON PA-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
1363A00000XPhysician AssistantPA21356CA
2363A00000XPhysician AssistantPA11390TX

General Provider Information

NPI Number : 1932403227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER ANN WARRINGTON PA-C
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number :
Provider Business Practice Location Address
First Line : 1507 RIVERY BLVD
Second Line :
City : GEORGETOWN
State : TX
Zip : 78628-3058
Country : US
Telephone Number : 512-509-9550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2011
Last Update Date : 06/10/2024

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Directions to “ MRS. JENNIFER ANN WARRINGTON PA-C” Practice Location

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