Provider Demographics
NPI:1063750792
Name:ARCE, JENNIFER L (APRN, FNP, CNS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:ARCE
Suffix:
Gender:F
Credentials:APRN, FNP, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5555 N. LAMAR BLVD
Practice Address - Street 2:E 125
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78751-1930
Practice Address - Country:US
Practice Address - Phone:512-324-2762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX761608364SA2200X
TXAP119982363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health