Individual provider · Type 1 NPI

Noggy David Jaen, FNP

Nurse Practitioner · Dallas, TX

NPI number 1457877151 Active

Practice location

1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513

Fax (214) 579-6983

Mailing address

1505 Lbj Fwy Ste 700
Dallas, TX 75234-6065

Other practice locations

  • 10152 Gooding Dr, Dallas, TX 75229-6254 · (214) 676-6069
  • 115 W Collin St, Corsicana, TX 75110-5222 · (903) 602-5009

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP134217 (TX)
Nurse Practitioner Primary 363L00000XAP134217 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1457877151

Noggy David Jaen, FNP's National Provider Identifier is 1457877151, issued on Aug 15, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dallas, TX. The record was last updated on Jun 6, 2025.