Individual
JENNIFER LEE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-3109
(361) 884-2687
(361) 884-3425
Mailing address
1501 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-3109
(361) 884-2687
(361) 884-3425
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP145157
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP145157
TX
Other
Enumeration date
02/14/2020
Last updated
09/16/2021
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