Jenny Maxwell, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

592056 Issued in TX

Practice address

9 Medical Pkwy
Plaza 4 Ste. 301
Dallas, TX 75234-7858

Phone

(972) 620-8100

Fax

(972) 620-8106

NPI assigned

Aug 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prompt Care Internal Medicine PA

  • Health Service Clinic/Center
  • Dallas, TX
  • NPI 1164478343

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1316178767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "PLAZA 4 STE. 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347858",
            "telephone_number": "972-620-8100",
            "fax_number": "972-620-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY",
            "address_2": "PLAZA 4 STE. 301",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347858",
            "telephone_number": "972-620-8100",
            "fax_number": "972-620-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JENNY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "592056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Annette Maxvill, PHARM.D., BCPS
• Autumn Maxwell
• Christine Elizabeth Maxwell
• Daniel Maxwell, M.D.
• David Roketha Maxwell, D.D.S.
• Megan Gentry Maxwell, M.D.
• Melissa Maxwell, MS, RD, LD
• Shirley Maxwell
• So-Van Ho Maxwell
• Laura May-Roelse

• Adult Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.