Individual
JAYME KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC/AC
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2011
Mailing address
3424 ROB ROY ST, SEGUIN, TX 78155-7317
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP137266
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP137266
TX
Other
Enumeration date
11/08/2018
Last updated
12/02/2020
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