Individual
MS. JENNIFER LAUREN GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 539-0000
Mailing address
425 ARBOR VW, ADKINS, TX 78101-2638
(830) 463-9192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP136404
TX
363LP2300X
Primary Care Nurse Practitioner
AG01180032
TX
Other
Enumeration date
02/06/2018
Last updated
10/23/2019
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