Jena Decanter is one of 637 nurse practitioners practicing in Tyler, Texas .
Jena Decanter practices with East Lake Medical, PLLC.
Registry record (NPPES)
NPI
1215306584
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
11980 State Highway 64 E Ste G
Enumerated
Sep 17, 2015
Record last updated
Jun 3, 2022
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
11980 State Hwy 64 E Suite GTyler , TX 75707
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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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