Individual
MRS. JENNIFER M JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2223
Mailing address
450 WILLOW GROVE DR, SAN ANTONIO, TX 78245-2775
(210) 592-9668
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147000788
IL
231H00000X
Audiologist
Primary
80098
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029298
HEALTH ALLIANCE
—
Enumeration date
08/03/2006
Last updated
07/10/2008
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