Provider Demographics
NPI:1679697627
Name:FUGERE, JENNY BERNIER (DC, NP)
Entity Type:Individual
Prefix:DR
First Name:JENNY
Middle Name:BERNIER
Last Name:FUGERE
Suffix:
Gender:F
Credentials:DC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7611 CASSION DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0206
Mailing Address - Country:US
Mailing Address - Phone:214-842-2558
Mailing Address - Fax:
Practice Address - Street 1:3303 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6812
Practice Address - Country:US
Practice Address - Phone:940-484-1887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9054111N00000X
TXAP134197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9054OtherSTATE LICENSE
TXAP134197OtherTEXAS BOARD OF NURSING