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Jack Thurman is one of 209 nurse practitioners practicing in Waco, Texas .
Jack Thurman practices with Providence Health Alliance.
Registry record (NPPES)
NPI
1063091676
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Address on file
9839 Elmcrest Dr Dallas, TX 75238-1831 (214) 335-9717
Enumerated
Apr 2, 2021
Record last updated
Apr 2, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
301 Richland W Cir Providence Internal Medicine Clinic
Waco , TX 76712
(254) 537-6200
405 Londonderry Dr
Waco , TX 76712
6901 Medical Pkwy
Waco , TX 76712
(254) 751-4000
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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