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Individual

JENESSA MCKRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
742 E HWY 121, LEWISVILLE, TX 75057-4113
(469) 356-2734
(469) 960-2909
Mailing address
5454 SURREY PATH STE 201, FRISCO, TX 75034-9582
(801) 718-6292

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
AP129105
TX
363LF0000X
Family Nurse Practitioner
AP129105
TX
363LP2300X
Primary Care Nurse Practitioner
AP129105
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1356117097
FACILITY NPI
TX
Enumeration date
10/08/2015
Last updated
07/11/2025
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