Individual
JENNIFER PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-8000
Mailing address
2403 N WASHINGTON AVE, 235, DALLAS, TX 75204-3793
(214) 604-8847
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP127440
TX
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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