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1003647017
JENISE GLASS
FORT WORTH, TX
NPI
1003647017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1169905)
Enumeration Date
2024-08-12
Last Update Date
2024-08-12
Business Address
JENISE GLASS FNP
3308 DEEN RD
FORT WORTH, TX 76106-6524
Phone number: 817-702-1100
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Mailing Address
JENISE GLASS FNP
PO BOX 732973
DALLAS, TX 75373-2973
Phone number: 817-918-5204
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