Provider Demographics
NPI:1346256484
Name:MINCHEY, JENNIFER LYNN (RN, MS, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LYNN
Last Name:MINCHEY
Suffix:
Gender:F
Credentials:RN, MS, FNP-C
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Mailing Address - Street 1:1301 W PRESIDENT GEORGE BUSH HWY
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1135
Mailing Address - Country:US
Mailing Address - Phone:972-836-0937
Mailing Address - Fax:855-589-8353
Practice Address - Street 1:1301 W PRESIDENT GEORGE BUSH HWY
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1135
Practice Address - Country:US
Practice Address - Phone:972-836-0937
Practice Address - Fax:855-589-8353
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX595392363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1672925Medicaid
TXQ18567Medicare UPIN
TX1672925Medicaid