Individual
JENNIFER REBECCA MERLENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3003 STONEBROOK PKWY, FRISCO, TX 75034-1310
(463) 633-6408
Mailing address
7000 BARBICAN DR, PLANO, TX 75025-5700
(804) 937-9545
Taxonomy
Speciality
Code
Description
License number
State
364SS0200X
School Clinical Nurse Specialist
Primary
868702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
868702
TX BON LICENSE
TX
Enumeration date
10/23/2020
Last updated
10/23/2020
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