Individual
MRS. JENNIFER MARIE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AC-PNP
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 724-5437
(254) 935-4111
Mailing address
PO BOX 840003, DALLAS, TX 75284-0003
(855) 691-9890
(781) 276-6487
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP139716
TX
Other
Enumeration date
07/10/2019
Last updated
01/22/2026
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