Individual
MRS. JENNIFER LYNN BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, AGACNP-BC
Contact information
Practice address
700 E MARSHALL AVE # ABE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
10624 BROWNING ST, BROWNSBORO, TX 75756-6675
(817) 903-5366
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
AP134807
TX
363L00000X
Nurse Practitioner
AP134807
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP134807
TX
Other
Enumeration date
09/25/2017
Last updated
06/07/2023
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