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Jennifer Licon is one of 253 nurse practitioners practicing in Amarillo, Texas .
Jennifer Licon practices with FMC Medical Foundation, Inc.
Registry record (NPPES)
NPI
1720721590
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
2701 S Georgia St Amarillo, TX 79109-1979 (806) 350-3000
Enumerated
Apr 19, 2022
Record last updated
Apr 19, 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
2701 S Georgia St
Amarillo , TX 79109
(806) 350-3000
More nurse practitioners in Amarillo
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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