Provider Demographics
NPI:1295149276
Name:MASSEY, JENNIFER FAYE (MSN, RN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:FAYE
Last Name:MASSEY
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Gender:F
Credentials:MSN, RN, CPNP-PC
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Mailing Address - Street 1:8440 WALNUT HILL LN
Mailing Address - Street 2:SUITE 540
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3833
Mailing Address - Country:US
Mailing Address - Phone:214-345-4204
Mailing Address - Fax:214-345-4586
Practice Address - Street 1:8440 WALNUT HILL LN
Practice Address - Street 2:SUITE 540
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3833
Practice Address - Country:US
Practice Address - Phone:214-345-4204
Practice Address - Fax:214-345-4586
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2016-08-30
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Provider Licenses
StateLicense IDTaxonomies
TXAP122971363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics