Provider Demographics
NPI:1467612887
Name:CASH, JENNA LYNN (DO)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:LYNN
Last Name:CASH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:LYNN
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1105 CENTRAL EXPY N
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013
Mailing Address - Country:US
Mailing Address - Phone:972-747-5437
Mailing Address - Fax:972-747-5497
Practice Address - Street 1:1105 CENTRAL EXPY N
Practice Address - Street 2:SUITE 250
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013
Practice Address - Country:US
Practice Address - Phone:972-747-5437
Practice Address - Fax:972-747-5497
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012706208000000X
TXP1120208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics