JESSICA SUZANNE CONRAD PNP NPI 1518210442

NPI Information

NPI: 1518210442
Provider Name: JESSICA SUZANNE CONRAD, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-7960
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Jessica Suzanne Conrad, PNP is a pediatrics nurse practitioner in Fort Worth, TX. Jessica Suzanne Conrad, PNP NPI is 1518210442. 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:

1500 COOPER ST
FORT WORTH, TX
ZIP 76104-710
Phone: (682) 885-7960
Fax: (682) 885-1327

The enumeration date for this NPI number is 10/16/2012 and was last updated on 11/2/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	749722	TEXAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP122648	TEXAS	Yes

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: 4/28/2024

NPI Synchronization or Removal

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