Individual
MISS JENNIFER JADE RHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1180 SETON PKWY STE 450, KYLE, TX 78640-6178
(512) 504-0860
(512) 504-0861
Mailing address
1004 W 32ND ST UNIT 300, AUSTIN, TX 78705-1915
(512) 324-1000
(512) 351-4196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
880802
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1089294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17707217
TX DL
TX
Enumeration date
08/03/2022
Last updated
08/05/2022
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