Organization
ENVY IV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYOUNG JEONG FNP (PROVIDER)
(469) 216-1102
Entity
Organization
Contact information
Practice address
4070 STATE HWY SUITE 412, CARROLLTON, TX 75010
(469) 216-1102
Mailing address
12060 BAMBERG LN, FRISCO, TX 75035-6991
(214) 404-6413
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/03/2023
Last updated
04/30/2026
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