# JANE TIJERINA

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

## Provider details

- **NPI number:** 1588684047
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 443706 | TX | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 04/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005330328 | AETNA HEALTHCARE | TX |
| 05 | — | 062643403 | — | TX |
| 01 | — | 8N8263 | BLUE CROSS BLUE SHIELD OF TEXAS | TX |
| 01 | — | P00398109 | RAILROAD MEDICARE | TX |