Jennings, Nicole Blackwell

Jennings, Nicole Blackwell is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Jennings, Nicole Blackwell can be contacted via phone (682) 885-2500.

Contact Information

Primary practice address
1500 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-2500
Fax: (682) 885-2510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA04862 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04862 Texas

Profile Details

NPI number 1730290990
LBN Legal business name Jennings, Nicole Blackwell
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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