Jericho Family Healthcare, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

584873 Issued in TX

Legal business name

JERICHO FAMILY HEALTHCARE, PLLC

Practice address

1505 Harroun Ave
Suite C
McKinney, TX 75069-3432

Phone

(972) 542-5811

Fax

(972) 542-5813

NPI assigned

Oct 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Victoria Lynn Tyra, FNP-C

Title

Nurse Practitioner/Owner

Phone

(972) 542-5811

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1194153742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 HARROUN AVE",
            "address_2": "SUITE C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693432",
            "telephone_number": "972-542-5811",
            "fax_number": "972-542-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 HARROUN AVE",
            "address_2": "SUITE C",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693432",
            "telephone_number": "972-542-5811",
            "fax_number": "972-542-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERICHO FAMILY HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "TYRA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "972-542-5811",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "584873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery Jensen, M.S., CCC-SLP
• Bethany Jensen, CNS, LDN
• Douglas Jensen
• Yoosun Jeong
• Jesse Robert Jepson, DC
• Jessica Boniol, PLLC
• Vamseen Jetti, M.D.
• Rosey Jha
• Jill Carole Kranzow DPM PA
• Jircik MHT LLC

• Family Nurse Practitioner in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.