MS. MARIE JEMIE MENDOZA AG ACNP-BC ACCNS-BC NPI 1720457054

NPI Information

  • NPI: 1720457054
  • Provider Name: MS. MARIE JEMIE MENDOZA, AG ACNP-BC, ACCNS-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1441 N BECKLEY AVE
    DALLAS, TX
    ZIP 75203
  • Phone: (214) 947-8181

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NPI Details

MS. Marie Jemie Mendoza, AG ACNP-BC, ACCNS-BC is an acute care nurse practitioner in Dallas, TX with 10 years of experience. MS. Marie Jemie Mendoza, AG ACNP-BC, ACCNS-BC NPI is 1720457054. 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:

1441 N BECKLEY AVE
DALLAS, TX
ZIP 75203-201
Phone: (214) 947-8181

The NPI 1720457054 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 9/16/2015 and was last updated on 1/13/2016.

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
1363L00000XNurse PractitionerAP129028TEXASNo
2363LC0200XNurse PractitionerCritical Care MedicineAP129028TEXASNo
3363LG0600XNurse PractitionerGerontologyAP129028TEXASNo
4364SA2100XClinical Nurse SpecialistAcute CareAP129028TEXASNo
5364S00000XClinical Nurse SpecialistAP129028TEXASNo
6364SC0200XClinical Nurse SpecialistCritical Care MedicineAP129028TEXASNo
7364SG0600XClinical Nurse SpecialistGerontologyAP129028TEXASNo
8364SA2200XClinical Nurse SpecialistAdult HealthAP129028TEXASNo
9363LA2100XNurse PractitionerAcute CareAP129028TEXASYes

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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