Active NPI
Jaenix, PLLC
Doing business as Jaenix Med Spa
- Nurse Practitioner
- Plano, TX
National Provider Identifier
1982412573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- JAENIX, PLLC
- Doing business as
- Jaenix Med Spa
- Practice address
- 1900 Preston Rd #345
Suite 24
Plano, TX 75093 - Phone
- (214) 771-2493
- NPI assigned
- Dec 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Nicole Boggs, APRN
- Title
- Owner
- Phone
- (214) 771-2493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1900 Preston Rd #345
Suite 24
Plano, TX 75093
Mailing address
1507 Walnut Ridge Dr
Rockwall, TX 75032-7296
Phone (214) 771-2493
Other names 1
- JAENIX MED SPA
National Provider Directory
National Provider DirectoryLocations
1900 Preston Rd
Ste 24
Plano, TX 75093
Phone (214) 771-2493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Mesquite, TX
- NPI 1306549100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1982412573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 WALNUT RIDGE DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750327296",
"telephone_number": "214-771-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PRESTON RD #345",
"address_2": "SUITE 24",
"city": "PLANO",
"state": "TX",
"postal_code": "75093",
"telephone_number": "214-771-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAENIX, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-28",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "BOGGS",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-771-2493",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JAENIX MED SPA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.