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Individual
JENNA M ORTIZ
Active
Individual
JENNA M ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
922029
TX
363L00000X
Nurse Practitioner
Primary
1215373
TX
363LA2100X
Acute Care Nurse Practitioner
1215373
TX
Other
Enumeration date
07/18/2025
Last updated
04/23/2026
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