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Individual

JENNA M ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12500 JUDSON RD STE 300, LIVE OAK, TX 78233-4146
(210) 967-0096
(210) 967-0383
Mailing address
12500 JUDSON RD STE 300, LIVE OAK, TX 78233-4146
(210) 643-6807

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
922029
TX
363L00000X
Nurse Practitioner
Primary
1215373
TX
363LA2100X
Acute Care Nurse Practitioner
1215373
TX

Other

Enumeration date
07/18/2025
Last updated
04/23/2026
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