P Praxis·MD
● Active Type 1 · Individual

Jennifer Eatherly, MSN, APRN, NP-C

Nurse Practitioner·Paris, TX· NPI 1154771228 · Enumerated 2016 · 9 years on NPI
Eatherly is 1 of 52 nurse practitioner providers in Paris and 1 of 22123 in Texas.
NPI age
9 years
Enumerated 2016-06-20
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
875 S Collegiate Dr
Paris, TX 754606305
📞 9037858857
Mailing address
Po Box 911230
Dallas, TX 753911230
📞 9729978000

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1425 E Lincoln Rd
Idabel, OK 747457345
📞 5802082700
Location 3
3550 Ne Loop 286
Paris, TX 754605004
📞 9037850031fax 9037846755
Location 4
113 Airport Rd
Sulphur Springs, TX 754822193
📞 9038853059

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP131104 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (TX) 360754101
01 (OK) 200678330A MEDICAID

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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