Provider Demographics
NPI:1619430881
Name:KUNKEL, JENTA KARLENE (MSN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JENTA
Middle Name:KARLENE
Last Name:KUNKEL
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:MRS
Other - First Name:JENTA
Other - Middle Name:K
Other - Last Name:KUNKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:3200 RESEARCH FOREST DR STE A4
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-4084
Mailing Address - Country:US
Mailing Address - Phone:281-297-6305
Mailing Address - Fax:
Practice Address - Street 1:3200 RESEARCH FOREST DR STE A4
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-4084
Practice Address - Country:US
Practice Address - Phone:281-297-6305
Practice Address - Fax:281-297-6436
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144096174400000X, 363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No174400000XOther Service ProvidersSpecialist