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Individual

MS. JENNIFER LORRAINE PEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1420 8TH AVE, SUITE 101, FORT WORTH, TX 76104-4138
(817) 920-0130
(817) 920-9953
Mailing address
6308 MILLWOOD CT, ARLINGTON, TX 76016-2665
(817) 492-9381

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
657769
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760488936
GROUP NPI
TX
01
GRP 00N85X
MEDICARE GROUP NO.
TX
01
GRP 00T04Z
MEDICARE GROUP NO.
01
P01062011
RAILROAD MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
TX
Enumeration date
03/20/2008
Last updated
12/06/2022
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