# MRS. JENNIFER LYNN OGLE

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

## Provider details

- **NPI number:** 1962467068
- **Gender:** F
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA04276 | TX | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 10/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1962467068 | BLUE CROSS BLUE SHIELD | TX |
| 05 | — | 323920401 | — | TX |
| 05 | — | 323920402 | — | TX |
| 05 | — | 323920405 | — | TX |
| 01 | — | 601771109 | US DEPT OF LABOR | — |
| 01 | — | 616771101 | US DEPT OF LABOR | — |
| 01 | — | 616771105 | US DEPT OF LABOR | — |
| 01 | — | 616771110 | US DEPT OF LABOR | — |
| 01 | — | 8409ND | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | P01258234 | MEDICARE RR | TX |