PEGGY P. JARVIS WHCNP NPI 1033119235

NPI Information

NPI: 1033119235
Provider Name: PEGGY P. JARVIS, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
5201 HARRY HINES BLVD
WISH TUBAL CLINIC
DALLAS, TX
ZIP 75235
Phone: (214) 590-5306
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Peggy P. Jarvis, WHCNP is a women's health nurse practitioner in Dallas, TX. Peggy P. Jarvis, WHCNP NPI is 1033119235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5201 HARRY HINES BLVD
WISH TUBAL CLINIC
DALLAS, TX
ZIP 75235-708
Phone: (214) 590-5306
Fax: (214) 590-2798

The NPI 1033119235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 3/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	246240	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041564806	MEDICAID	TEXAS
2	041564813	MEDICAID	TEXAS
3	041564808	MEDICAID	TEXAS
4	041564812	MEDICAID	TEXAS
5	041564804	MEDICAID	TEXAS
6	8N4798	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
7	041564802	MEDICAID	TEXAS
8	041564803	MEDICAID	TEXAS
9	S81424	MEDICARE UPIN	TEXAS
10	041564807	MEDICAID	TEXAS
11	041564810	MEDICAID	TEXAS
12	041564811	MEDICAID	TEXAS
13	82N811	MEDICARE PIN	TEXAS
14	041564805	MEDICAID	TEXAS
15	041564809	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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