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Individual
JENNIFER TRAN
Active
Individual
JENNIFER TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381843703
—
TX
01
—
381843704
MEDICAID CSHCN
TX
01
—
8QE476
BCBS
TX
01
—
Q00143102
RAILROAD MEDICARE
TX
Enumeration date
11/27/2017
Last updated
12/03/2021
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