Individual provider Active NPI

Jessica D Jenkins, APRN

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1245648856
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1068370 Issued in TX
Practice address
800 W Airport Fwy Ste 100
Irving, TX 75062-6206
Phone
(214) 643-6405
Fax
(214) 643-6423
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1068370 TX Primary
Family Nurse Practitioner 363LF0000X 9265193 FL

Addresses

Primary practice location

800 W Airport Fwy Ste 100
Irving, TX 75062-6206

Mailing address

7515 Greenville Ave Ste 600
Dallas, TX 75231-3819
Phone (214) 643-6405

Other practice location 1

7515 Greenville Ave Ste 600
Dallas, TX 75231-3819
Phone (214) 643-6405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230221000904 TX Practitioner - Nurse Practitioner 7810210689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9265193FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_jjenki84@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1245648856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 GREENVILLE AVE STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313819",
            "telephone_number": "214-643-6405",
            "fax_number": "214-643-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W AIRPORT FWY STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750626206",
            "telephone_number": "214-643-6405",
            "fax_number": "214-643-6423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7515 Greenville Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313819",
            "country_code": "US",
            "telephone_number": "214-643-6405",
            "fax_number": "214-643-6423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JESSICA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068370",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9265193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.