Provider Demographics
NPI:1760472005
Name:RHYMES, JENNIE (APN)
Entity Type:Individual
Prefix:
First Name:JENNIE
Middle Name:
Last Name:RHYMES
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:JENNIE
Other - Middle Name:
Other - Last Name:RHYMES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:9285 CR 201
Mailing Address - Street 2:
Mailing Address - City:LUEDERS
Mailing Address - State:TX
Mailing Address - Zip Code:79533-1212
Mailing Address - Country:US
Mailing Address - Phone:214-862-6019
Mailing Address - Fax:
Practice Address - Street 1:9285 COUNTY ROAD 201
Practice Address - Street 2:
Practice Address - City:LUEDERS
Practice Address - State:TX
Practice Address - Zip Code:79533-1248
Practice Address - Country:US
Practice Address - Phone:214-862-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-27
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX698986363LF0000X
TXAP117481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP117481OtherAPRN LICENSE
TNQ52260Medicare UPIN