Individual
JENNIFER ELISE DUCHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
508 THIS WAY ST, LAKE JACKSON, TX 77566-5128
(281) 298-1144
Mailing address
14960 PARK ROW DR, HOUSTON, TX 77084-5165
(281) 298-1144
(281) 298-1133
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
754961
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP120661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287462011
—
TX
Enumeration date
09/07/2011
Last updated
07/17/2025
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