Individual
JENNIFER LYNDIE ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
9041 RESEARCH BLVD, STE 250, AUSTIN, TX 78758-7003
(512) 331-1288
(512) 257-1745
Mailing address
201 E BEN WHITE BLVD, BLDG B, AUSTIN, TX 78704-7301
(512) 275-0171
(512) 275-0181
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
707109
TX
Other
Enumeration date
05/24/2011
Last updated
01/15/2013
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