Dr. Jenniffier Eady, MD
Family Medicine in Southlake, TX. Individual provider (NPI-1).
NPI number1508093733
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1508093733
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jenniffier Eady
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2009
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | P4593 | TX | Yes |
Other names
- Jenniffier Eady (Professional Name)
Practice location
1150 N Kimball Ave Ste 120Southlake, TX 76092-5570
Phone 682-651-8007 · Fax 844-750-0657
Mailing address
5 Woodlands CtTrophy Club, TX 76262-9735
Phone 972-310-8872 · Fax 844-750-0657
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