JENNIFER KENT AUTRY (NPI# 1326323353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326323353 |
| Entity Type | Individual |
| Full Name | JENNIFER KENT AUTRY |
| Credential | PMHNP |
| Practice Address |
7777 Forest Ln Ste C833 Dallas TX 75230-2591 |
| Mailing Address |
400 Howard Rd Weatherford TX 76088-7180 |
| Practice Telephone | 9725664591 |
| Practice Fax Number | 9725666679 |
| Mailing Telephone | 9404455233 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP121046 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APRN | AP121046 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 868N64 | 01 |
| TX | 288504801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Howard Rd, Weatherford, TX 760887180 | 9402550839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497269559 | Jennifer Autry | Counselor | 3700 Safe Harbor Way, Reno, NV 89512-1137 | 2017-11-28 |
| 1760685028 | Jennifer Autry | Counselor | 335 W Church St, Lexington, TN 38351-2096 | 2007-06-06 |
| Street Address |
7777 FOREST LN STE C833 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173559 | Shamika Ottley | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2020-01-16 |
| 1619512662 | Marlisha Lorraine Thomas | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-11-14 |
| 1376192138 | Allyson Leigh Feist | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-09-05 |
| 1134772585 | George Paul Flanagan Jr. | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-07-24 |
| 1235781915 | Akindele Keji Onadeko | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2019-07-12 |
| 1245718303 | Emily S Davis | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2018-08-01 |
| 1528568227 | Cherylonda Ramzy | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2018-02-19 |
| 1730694555 | Crystal J Dean | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2017-12-04 |
| 1265783179 | Sandra F. Dejesus | Nurse Practitioner | 7777 Forest Ln Ste C833, Dallas, TX 75230-2591 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052805 | Deadra Jordan | Nurse Practitioner | 5995 Summerside Dr Unit 795142, Dallas, TX 75379-0095 | 2020-08-07 |
| 1083235691 | Annemarie Osondu Odo | Nurse Practitioner | 9450 Skillman St Ste 120, Dallas, TX 75243-8235 | 2020-05-05 |
| 1740811934 | Kellie Lynn Westmoreland | Nurse Practitioner | 7777 Forest Ln Ste 833, Dallas, TX 75230-2571 | 2020-01-28 |
| 1346871696 | Ebote Ngite Nnoko | Nurse Practitioner | 108 Crescent Woode Dr, Dallas, GA 30157-5725 | 2020-01-27 |
| 1689238461 | Ican Medics and Psych Services Pllc | Nurse Practitioner | 9535 Forest Ln Ste 109, Dallas, TX 75243-5934 | 2019-04-26 |
| 1942773643 | Jo Kutty Kurian | Nurse Practitioner | 6363, Forest Park Road, 7th Floor, Suite 749, Dallas, TX 75390-9121 | 2019-01-04 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1114495983 | Nwamaka Ngumezi | Nurse Practitioner | 3417 Gaston Ave Ste 815, Dallas, TX 75246-2034 | 2018-11-08 |
| 1811406150 | Justin Neal Mehan | Nurse Practitioner | 712 N Washington Ave Ste 411, Dallas, TX 75246-1626 | 2017-09-28 |
| 1114321775 | Shane Tipton | Nurse Practitioner | 6363 Forest Park Road 7th Floor Ste 749, Dallas, TX 75390-4426 | 2014-10-10 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.