Individual
JENNIEVA EVELLE HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 297-7000
Mailing address
8905 PALMETTO PARK, CONVERSE, TX 78109-2141
(210) 859-7169
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1178594
TX
363LG0600X
Gerontology Nurse Practitioner
1178594
TX
Other
Enumeration date
10/23/2024
Last updated
10/25/2024
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