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. The NPI number for Jennifer Adesina is 1265055511 and holds license No. 880729 (TX). The current practice location address is 6363 Forest Park 7TH Ste 749, Dallas, TX 75390-6914 and the office can be reached by phone at 214-645-8500 and by fax at 214-648-3775. The NPI was assigned on May 21, 2020 and the record was last updated in NPPES on September 22, 2022.

●Provider Profile Details

NPI Number
1265055511
Provider Name
Jennifer Adesina
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Enumeration Date
May 21, 2020
Last Update Date
September 22, 2022
Certification Date
September 22, 2022
NPI Status
Active

◉Business Practice Location Address

Address
6363 Forest Park 7TH Ste 749
Dallas, TX 75390-6914
City
Dallas
State
Texas
ZIP
75390-6914
Country
US
Phone Number
214-645-8500
Fax Number
214-648-3775

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Registered Nurse, Critical Care Medicine163WC0200XNo880729TX
Nurse Practitioner, Psych/Mental Health363LP0808XNoAPRN11016275FL
Nurse Practitioner, Psych/Mental Health363LP0808XYes1006418TX

#Other Provider Identifiers

No legacy or other 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) and holds license No. 880729 (TX).

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 at npiregistry.cms.hhs.gov.

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