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Individual

MRS. JENNIFER D ERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1308 PALUXY RD STE 200, GRANBURY, TX 76048-5689
(817) 573-5983
(817) 573-5989
Mailing address
1308 PALUXY RD, GRANBURY, TX 76048-5689
(817) 573-5983
(817) 573-5989

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05776
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378131201
TX
Enumeration date
10/07/2008
Last updated
03/03/2026
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