Individual
JENNIFER RUBIO GREDICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 N CAPITAL OF TEXAS HWY # 6, AUSTIN, TX 78746-3302
(855) 481-8375
Mailing address
209 S CHURCH ST, SUITE B, LOCKHART, TX 78644-2713
(512) 376-2999
(512) 376-5562
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP124084
TX
364SF0001X
Family Health Clinical Nurse Specialist
642100
TX
364SF0001X
Family Health Clinical Nurse Specialist
AP124084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340893201
—
TX
Enumeration date
08/14/2013
Last updated
09/18/2023
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