Active NPIIndividual provider

Jennifer Adesina

Nurse Practitioner, Psych/Mental Health in Dallas, Texas

NPI Number1265055511
Practice location
6363 Forest Park 7TH Ste 749, Dallas, TX 75390-6914
Fax
214-648-3775
Last updated
September 22, 2022

Jennifer Adesina is a Nurse Practitioner, Psych/Mental Health based in Dallas, TX. Jennifer Adesina practices in Dallas, TX. The NPI Number for Jennifer Adesina is 1265055511 and holds a License No. 880729 (TX). The current practice location address for Jennifer Adesina is 6363 Forest Park 7TH Ste 749, Dallas, TX 75390-6914 and can be reached out via phone at 214-645-8500 and via fax at 214-648-3775.

Provider Profile Details

NPI Number
1265055511
Provider Name
Jennifer Adesina
Provider Entity Type
Individual
Gender
Female
Address
6363 Forest Park 7TH Ste 749, Dallas, TX 75390-6914
Phone Number
214-645-8500
Fax Number
214-648-3775
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2020
Last Update Date
September 22, 2022
Certification Date
September 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
6363 Forest Park 7TH Ste 749
Dallas, TX 75390-6914
City
Dallas
State
Texas
Zip
75390-6914
Phone Number
214-645-8500
Fax Number
214-648-3775
Dallas, TX 75390Get directions →

Provider Business Mailing Address Details

Address
Po Box 845347
Dallas, TX 75284-5347
City
Dallas
State
TX
Zip
75284-5347
Phone Number
214-645-0624
Fax Number
214-645-0078

License Information

License Number (1)
880729
License State (1)
TX
License Number (2)
APRN11016275
License State (2)
FL
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
1006418
License State (3)
TX
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Adesina?

The NPI number of Jennifer Adesina is 1265055511. It was assigned on May 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Jennifer Adesina?

Jennifer Adesina is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in TX under license number 880729.

Where does Jennifer Adesina practice?

The practice location is 6363 Forest Park 7TH Ste 749, Dallas, TX 75390-6914. The office can be reached at 214-645-8500 (phone) or 214-648-3775 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265055511 directly on the NPPES registry website.

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