Merlene, Jennifer Rebecca

Merlene, Jennifer Rebecca is an sole proprietor health care provider with primary practice located at 3003 Stonebrook Pkwy , Frisco TX 75034-1310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as her primary health care specialty. Merlene, Jennifer Rebecca can be contacted via phone (463) 633-6408.

Contact Information

Primary practice address
3003 Stonebrook Pkwy Frisco TX 75034-1310
Phone: (463) 633-6408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 364SS0200X 868702 Texas

Profile Details

NPI number 1801495452
LBN Legal business name Merlene, Jennifer Rebecca
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2020
Last updated Oct 23rd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801495452 NPPES
Texas Other 868702 TX BON LICENSE

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