Individual
JENNIFER KATE LAURENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(214) 287-9039
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP136471
TX
Other
Enumeration date
02/12/2018
Last updated
04/30/2020
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