# JENNIFER RUBIO GREDICEK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073946984
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP124084 | TX | Yes |
| 364SF0001X | Family Health Clinical Nurse Specialist | 642100 | TX | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | AP124084 | TX | — |

## Other

- **Enumeration date:** 08/14/2013
- **Last updated:** 09/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 340893201 | — | TX |