Nicole Blackwell Jennings in Dallas - Medical
Nicole Blackwell Jennings - NPI 1730290990
Nicole Blackwell Jennings is a Medical in Dallas, Texas. Nicole Blackwell Jennings practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicole Blackwell Jennings is 1730290990. The last update date is 2021-05-18.
Nicole Blackwell Jennings's current location address is Po Box 733784, Dallas, Texas. You can contact this provider via phone number 6828856163 and fax number 6828851396. The mailing address for Nicole Blackwell Jennings is Po Box 733784, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Blackwell Jennings |
|---|---|
| Address | Po Box 733784, Dallas, Texas |
| Phone Number | 6828856163 |
| Fax Number | 6828851396 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1730290990 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2021-05-18 |
Provider Mailing Address Detail
| Address | Po Box 733784 |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 753733784 |
| Phone Number | 6828856163 |
| Fax Number | 6828851396 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA04862 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Nicole Blackwell Jennings's unique identification number?
The Nicole Blackwell Jennings has been assigned the NPI (National Provider Identifier) Number 1730290990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Nicole Blackwell Jennings's facilities are situated?
The facilities of Nicole Blackwell Jennings are physically located at the following address: Po Box 733784, Dallas, TX, 753733784.
What is Nicole Blackwell Jennings's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nicole Blackwell Jennings is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730290990 to Nicole Blackwell Jennings?
The Centers for Medicare & Medicaid Services originally issued the 1730290990 to Nicole Blackwell Jennings on 2006-08-31.
When was the information related to Nicole Blackwell Jennings most recently updated or refreshed?
The details pertaining to the Nicole Blackwell Jennings, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-05-18.