| I535 Family Healthcare | |
|
609 Strada Cir Mansfield TX 76063-6637 | |
| (951) 965-1490 | |
| Not Available |
| Full Name | I535 Family Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 609 Strada Cir, Mansfield, Texas |
| Authorized Official Name and Position | Jessica Jenkins (OWNER) |
| Authorized Official Contact | 9519651490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I535 Family Healthcare 609 Strada Cir Mansfield TX 76063-6637 Ph: (951) 965-1490 | I535 Family Healthcare 609 Strada Cir Mansfield TX 76063-6637 Ph: (951) 965-1490 |
| NPI Number | 1558138982 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 9739521865 |
|---|---|
| Medicare Enrollment ID | O20240521003197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558138982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jessica Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629733613 PECOS PAC ID: 4981094067 Enrollment ID: I20211203000988 |
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