Individual ProviderJennifer Marie MercadoRegistered NurseNursing Service ProvidersPractice Address6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Marie Mercado does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1629722632Provider TypeIndividualFull NameMercado, Jennifer MarieCredentialRNGenderFemaleSole ProprietorNoEnumeration Date2/8/2022Last Updated2/8/2022Contact InformationPractice LocationPractice Address6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense945874Texas