Individual
MACALAH CORTNEE JENSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 BANDERA HWY STE 10, KERRVILLE, TX 78028-9535
(830) 257-1440
Mailing address
956 KICKAPOO DR, FREDERICKSBURG, TX 78624-6453
(830) 998-1587
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1099296
TX
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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