Individual
MRS. JENNIFER ADRIENNE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,APRN, FNP-C
Contact information
Practice address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-2413
Mailing address
4411 MEDICAL DR STE 300, SAN ANTONIO, TX 78229-3824
(210) 614-5400
(210) 614-4244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142123
TX
363LF0000X
Family Nurse Practitioner
AP142123
TX
Other
Enumeration date
07/08/2019
Last updated
12/20/2019
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