# JENNIFER A LUNCEFORD

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

## Provider details

- **NPI number:** 1891724282
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA02328 | TX | Yes |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 08/28/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 187881104 | — | TX |
| 01 | — | 7057548 | AETNA | TX |
| 01 | — | 75-1976930-005 | TRICARE | TX |
| 01 | — | 8192NP | BCBS | TX |
| 01 | — | 8821NF | BCBS | TX |
| 01 | — | P01492565 | RAIL ROAD | TX |