Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenisa Johnson-Keener

Individual provider Family Nurse Practitioner · NPI 1962119586

Jenisa Johnson-Keener is a Nurse Practitioner in Texarkana, Texas. Qualified in 2022, 4 years ago. Practices with Collom and Carney Clinic Association, a 52-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone: (903) 614-3001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1098277 (TX)

Record details

NPI number1962119586
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2022
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Collom And Carney Clinic Association — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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