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Individual
JENNIFER L GWYNNE
Active
Individual
JENNIFER L GWYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
983495
TX
363LF0000X
Family Nurse Practitioner
Primary
1093379
TX
Other
Enumeration date
07/10/2023
Last updated
10/29/2024
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