Jennifer Rebecca Merlene, RN, BSN

Primary specialty

School Clinical Nurse SpecialistTaxonomy code 364SS0200X

License

868702 Issued in TX

Practice address

3003 Stonebrook Pkwy
Frisco, TX 75034-1310

Phone

(463) 633-6408

NPI assigned

Oct 23, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1801495452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 BARBICAN DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255700",
            "telephone_number": "804-937-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 STONEBROOK PKWY",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341310",
            "telephone_number": "463-633-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLENE",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SS0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, School",
            "state": "TX",
            "license": "868702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BON LICENSE",
            "identifier": "868702",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "merlenej@friscoisd.org",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical records",
            "address_1": "3003 Stonebrook Pkwy",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750341310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Nurse Specialist in Frisco, TX
• Providers in Frisco, TX by specialty
• Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.