Provider Demographics
NPI:1396162780
Name:VO, JENNIFER THUY (MSN, RN, ACNP-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:THUY
Last Name:VO
Suffix:
Gender:F
Credentials:MSN, RN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8198 WALNUT HILL LN STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4316
Mailing Address - Country:US
Mailing Address - Phone:214-345-4449
Mailing Address - Fax:214-345-1238
Practice Address - Street 1:8198 WALNUT HILL LN STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4316
Practice Address - Country:US
Practice Address - Phone:214-345-4449
Practice Address - Fax:214-345-1238
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123173363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348419801Medicaid
TX348419801Medicaid