Individual
JENNIFER ANNE ISHMAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CFNP
Contact information
Practice address
950 N 14TH ST STE 100, BEAUMONT, TX 77702-1112
(409) 833-5858
(409) 833-1155
Mailing address
950 N 14TH ST, SUITE 100, BEAUMONT, TX 77702-1111
(409) 833-5858
(409) 833-1155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
750272
TX
363LF0000X
Family Nurse Practitioner
750272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364877601
—
TX
Enumeration date
02/26/2013
Last updated
02/20/2023
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