Individual provider · Type 1 NPI

Jennifer Marie Moreno, PA-C

Physician Assistant · Dallas, TX

NPI number 1083087605 Active

Practice location

5323 Harry Hines Boulevard
Dallas, TX 75390-7208

Fax (214) 645-3301

Mailing address

P.o. Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA10427 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083087605

Jennifer Marie Moreno, PA-C's National Provider Identifier is 1083087605, issued on Nov 4, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on May 12, 2016.