JEFFREY M NOWAK NP NPI 1922035765

NPI Information

NPI: 1922035765
Provider Name: JEFFREY M NOWAK, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER

PECOS Registration: Yes

Address:
7777 FOREST LN STE 400
DALLAS, TX
ZIP 75230
Phone: (972) 566-7790
Get Directions

Jeffrey M Nowak, NP is an acute care nurse practitioner in Dallas, TX with 21 years of experience. Jeffrey M Nowak, NP NPI is 1922035765. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7777 FOREST LN STE 400
DALLAS, TX
ZIP 75230-571
Phone: (972) 566-7790
Fax: (972) 566-5819

The NPI 1922035765 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 4/20/2016.

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	363L00000X	Nurse Practitioner		658745	TEXAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	658745	TEXAS	No
3	363LA2100X	Nurse Practitioner	Acute Care	AP112695	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
1	171609401	MEDICAID	TEXAS
2	8J6688	MEDICARE PIN	TEXAS
3	171609407	MEDICAID	TEXAS
4	467589YM09	MEDICARE PIN	TEXAS
5	Q10632	MEDICARE UPIN	TEXAS
6	8J6030	MEDICARE PIN	TEXAS
7	171609402	MEDICAID	TEXAS
8	171609403	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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