Provider Demographics
NPI:1295534907
Name:ANOINTED AESTHETICS & MEDICAL SERVICES
Entity type:Organization
Organization Name:ANOINTED AESTHETICS & MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:682-746-8082
Mailing Address - Street 1:PO BOX 96
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75168-0096
Mailing Address - Country:US
Mailing Address - Phone:682-746-8082
Mailing Address - Fax:682-757-0477
Practice Address - Street 1:306 E RANDOL MILL RD STE 700
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-1410
Practice Address - Country:US
Practice Address - Phone:682-746-8082
Practice Address - Fax:682-757-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No335G00000XSuppliersMedical Foods Supplier
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy