JENNIFER WRUCK FNP-C NPI 1144998204

NPI Information

  • NPI: 1144998204
  • Provider Name: JENNIFER WRUCK, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1441 N BECKLEY AVE STE 268
    DALLAS, TX
    ZIP 75203
  • Phone: (214) 947-4400

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NPI Details

Jennifer Wruck, FNP-C is a family nurse practitioner in Dallas, TX with 4 years of experience. Jennifer Wruck, FNP-C NPI is 1144998204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

1441 N BECKLEY AVE STE 268
DALLAS, TX
ZIP 75203-201
Phone: (214) 947-4400
Fax: (214) 947-4404

The NPI 1144998204 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 9/2/2021 and was last updated on 10/14/2021.

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
1363LF0000XNurse PractitionerFamily1051980TEXASYes

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: 3/30/2025

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