Ericka S Jenifer, PHD is a
Psychologist - Clinical based in Nas/jrb, Texas. Ericka S Jenifer is licensed to practice in Illinois (license number 071008482) and her current practice location is
1780 Doolittle Ave, 301st Mds, Mental Health Section, Nas/jrb, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 782-7785.
NPI number for Ericka S Jenifer is 1407027469 and her current mailing address is 1780 Doolittle Ave, 301st Mds, Mental Health Section, Nas/jrb, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407027469.
Healthcare Provider's Profile
Full Name | Ericka S Jenifer |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1780 Doolittle Ave, Nas/jrb, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407027469
- Provider Enumeration Date: 03/18/2008
- Last Update Date: 05/13/2013
Medical Identifiers
Medical identifiers for Ericka S Jenifer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407027469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 071008482 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ericka S Jenifer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ericka S Jenifer, PHD 1780 Doolittle Ave, 301st Mds, Mental Health Section, Nas/jrb, TX 76127-1134 Ph: (817) 782-7785 | Ericka S Jenifer, PHD 1780 Doolittle Ave, 301st Mds, Mental Health Section, Nas/jrb, TX 76127-1134 Ph: (817) 782-7785 |
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