Individual
DR. JENNIFER A MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09138064
—
CO
01
—
42373
LICENSE
CO
01
—
C166251
CALIFORNIA MEDICAL LICENSE
CA
01
—
MD60590016
WASHINGTON MEDICAL LICENSE
WA
01
—
P00274398
MEDICARE RAILROAD
—
01
—
R1824
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/02/2006
Last updated
07/02/2021
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