MRS. JASPER ELISABET PENA (NPI# 1518463736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518463736 |
| Entity Type | Individual |
| Full Name | MRS. JASPER ELISABET PENA |
| Credential | APRN, FNP-C |
| Practice Address |
1700 N Highway 77 Ste 210 Waxahachie TX 75165 |
| Mailing Address |
1700 N Highway 77 Ste 210 Waxahachie TX 75165-7832 |
| Practice Telephone | 9729371210 |
| Practice Fax Number | 9729370243 |
| Mailing Telephone | 9729371210 |
| Mailing Fax Number | 9729370243 |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135551 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1700 N HIGHWAY 77 STE 210 |
| City | WAXAHACHIE |
| State | TX |
| Zip Code | 75165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680358 | Ashley Nicole Pirisino | Family Medicine | 1700 N Highway 77 Ste 210, Waxahachie, TX 75165-7832 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702523 | Texas Health Surgery Center Waxahachie, LLC | Clinic/Center | 1434 W Us Highway 287 Bypass, Suite 100, Waxahachie, TX 75165 | 2020-05-27 |
| 1649890112 | Roberta Mashel Wilks | Licensed Practical Nurse | 109 Southhampton Place, Waxahachie, TX 75165 | 2020-04-24 |
| 1376172072 | Marian Browning | Dietitian, Registered | 2400 North I35-e, Waxahachie, TX 75165 | 2020-04-04 |
| 1083240758 | Megan Byrom | Dietitian, Registered | 2400 North I-35e, Food and Nutrition Dept C/o Megan Byrom, Waxahachie, TX 75165 | 2020-03-13 |
| 1679118996 | Waxahachie Modern Dentistry, PC | Dentist | 1400 Us Highway 77 North, Suite 300, Waxahachie, TX 75165 | 2019-11-11 |
| 1194369546 | Eastland Memorial Hospital District | Skilled Nursing Facility | 3650 Interstate 35 E, Waxahachie, TX 75165 | 2019-10-29 |
| 1750935888 | Victoria Layne Oates | Registered Nurse | 125 Cantle St, Waxahachie, TX 75165 | 2019-07-26 |
| 1417519828 | Sarah Ann Key | Dentist | 1618 Us-287 Bus, Waxahachie, TX 75165 | 2019-07-05 |
| 1619433034 | Mariposa Perinatal Services Pllc | Obstetrics & Gynecology | 1510 W. Hwy 287 Bypass, Ste. 100, Waxahachie, TX 75165 | 2019-02-11 |
| 1376026807 | Lyndsey Jean May | Occupational Therapy Assistant | 3650 S.interstate 35-e, Waxahachie, TX 75165 | 2018-09-11 |
| Find all providers in zip 75165 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131027 | Robert Sullivan | Nurse Practitioner | 8821 Mallory Ct, Waxahachie, TX 75167-6007 | 2020-04-01 |
| 1992349294 | Megan Nicole Jenkins | Nurse Practitioner | 2460 N I 35 Ste 100, Waxahachie, TX 75165-5267 | 2019-10-30 |
| 1467003855 | Melissa Stoup | Nurse Practitioner | 8641 Mattie Ln, Waxahachie, TX 75167-7281 | 2019-09-26 |
| 1740848431 | Jideofor Uzoma Ogbonna | Nurse Practitioner | 1102 Solon Place Way Ste A, Waxahachie, TX 75165-5038 | 2019-05-29 |
| 1851879761 | Loretta Wall | Nurse Practitioner | 2460 North Ih 35 Suite 100, Professional Plaza I, Waxahachie, TX 75165 | 2018-08-02 |
| 1194242594 | Hector Condarco | Nurse Practitioner | 2400 North I35 East Service Road, Waxahachie, TX 75165 | 2017-08-25 |
| 1952757825 | Laura Driggers | Nurse Practitioner | 2460 N Ih 35 E Ste 100, Waxahachie, TX 75165-5267 | 2016-05-10 |
| 1275846842 | Kimberly Hortman | Nurse Practitioner | 1405 W. Jefferson, Emergency Department, Waxahachie, TX 75165 | 2010-07-23 |
| 1992886923 | Lance W Hall | Nurse Practitioner | 3085 Fm 1446, Waxahachie, TX 75167-8602 | 2006-10-18 |
| 1356375364 | Brenda L Wyrick | Nurse Practitioner | 141 Rvg Pkwy Ste 104, Waxahachie, TX 75165-5288 | 2006-07-10 |
| Find all providers in WAXAHACHIE | ||||
| City | WAXAHACHIE |
| Zip Code | 75165 |
Please comment or provide details below to improve the information on MRS. JASPER ELISABET PENA.
| 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.