Individual
MRS. JENA LYNETTE PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN,NNP
Contact information
Practice address
1900 N OREGON ST, SUITE 601, EL PASO, TX 79902-3351
(915) 542-0755
Mailing address
4325 LOMA HERMOSA DR, EL PASO, TX 79934-3706
(915) 821-6119
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
551745
TX
Other
Enumeration date
02/25/2009
Last updated
03/17/2009
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