Individual
DR. JENNIFER REBECCA FERRELL
Active
Individual
DR. JENNIFER REBECCA FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4995
OK
207R00000X
Internal Medicine Physician
L7640
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164990701
—
TX
05
—
164990702
—
TX
01
—
7471615
AETNA
TX
01
—
8P5795
BCBS
TX
Enumeration date
04/13/2006
Last updated
02/24/2017
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