Individual
MS. JENNIFER NICOLE KENLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1625 MEDICAL CENTER DR, EL PASO, TX 79902-5005
(915) 491-5470
Mailing address
1625 MEDICAL CENTER DR, EL PASO, TX 79902-5005
(915) 546-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1074755
TX
363LA2100X
Acute Care Nurse Practitioner
1074755
TX
Other
Enumeration date
04/19/2022
Last updated
08/07/2023
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