Provider Demographics
NPI:1922633155
Name:SAENZ, JENNIFER KAY (MSN, APRN, CCM,FNP-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KAY
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MSN, APRN, CCM,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 E ORANGE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ORANGE GROVE
Mailing Address - State:TX
Mailing Address - Zip Code:78372-9300
Mailing Address - Country:US
Mailing Address - Phone:361-389-0482
Mailing Address - Fax:866-845-0933
Practice Address - Street 1:500 FLOURNOY RD
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4085
Practice Address - Country:US
Practice Address - Phone:361-664-5219
Practice Address - Fax:361-664-5249
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145388363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily