Organization
JAENIX, PLLC
Active
Other names
JAENIX MED SPA
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE BOGGS APRN (OWNER)
(214) 771-2493
Entity
Organization
Contact information
Practice address
1900 PRESTON RD #345, SUITE 24, PLANO, TX 75093
(214) 771-2493
Mailing address
1507 WALNUT RIDGE DR, ROCKWALL, TX 75032-7296
(214) 771-2493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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