Ms. Jill Marie Kennedy
Nurse Practitioner - Women's Health
5750 Pineland Dr., Ste #240 Suite 206
Dallas
, Texas 75231-4534
Ms. Jill Marie Kennedy
Nurse Practitioner - Women's Health
5750 Pineland Dr., Ste #240 Suite 206
Dallas
, Texas 75231-4534
(469) 637-2760
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Jill Marie Kennedy
- 5750 Pineland Dr Ste 240
- Dallas, TX
- Zip : 75231-5300
- Fax : (469) 637-2760
- Phone : (469) 637-2777
Second Address
- Ms. Jill Marie Kennedy
- 5750 Pineland Dr., Ste #240 Suite 206
- Dallas, TX
- Zip : 75231-4534
- Fax : (469) 637-2760
- Phone : (469) 637-2777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | AP105620 | TX |
National Provider Identifier
| NPI | 1033255765 |
|---|---|
| Provider Name | Ms. Jill Marie Kennedy |
| First Address | Dallas, TX 75231-5300 |
| Second Address | Dallas, TX 75231-4534 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 13/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.