Jean Herzog is one of 209 nurse practitioners practicing in Waco, Texas .
Jean Herzog practices with Providence Health Alliance.
Registry record (NPPES)
NPI
1366591810
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
7104 New Sanger Rd
Enumerated
Jan 10, 2007
Record last updated
Dec 7, 2016
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
2100 Lake Shore DrWaco , TX 76708
2100 Lake Shore Dr Suite 200Waco , TX 76708
301 Richland W Cir Providence Internal Medicine ClinicWaco , TX 76712
340 Richland W Cir Ascension Medical Group ProvidenceWaco , TX 76712
342 Richland W CirWaco , TX 76712
More nurse practitioners in Waco
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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