Individual
DR. JENNIFER LYNN PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6901 MEDICAL PARKWAY, WACO, TX 76712
(254) 751-4146
(254) 751-4283
Mailing address
PO BOX 2589, WACO, TX 76702-2589
(254) 751-4146
(254) 751-4283
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8710
TX
207P00000X
Emergency Medicine Physician
TXBJ8710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136880513
—
TX
01
—
8S0954
BCBS
TX
Enumeration date
09/12/2006
Last updated
03/25/2013
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