Individual
MS. JENNIFER A MCCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
221 W. COLORADO BLVD., SUITE 845, DALLAS, TX 75208
(214) 946-1133
(817) 877-0350
Mailing address
221 W. COLORADO BLVD., SUITE 845, DALLAS, TX 75208
(214) 946-1133
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
240585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088706904
—
TX
05
—
088706905
—
TX
05
—
088706906
—
TX
05
—
171484201
—
TX
01
—
84562U
BCBS
TX
Enumeration date
12/22/2005
Last updated
05/04/2011
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