Provider Demographics
NPI:1124085329
Name:SECHLER, JENNIFER R (DC,APN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:R
Last Name:SECHLER
Suffix:
Gender:F
Credentials:DC,APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 500022
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-0022
Mailing Address - Country:US
Mailing Address - Phone:512-250-9140
Mailing Address - Fax:512-250-2207
Practice Address - Street 1:9009 MOUNTAIN RIDGE DR
Practice Address - Street 2:STE A140
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7286
Practice Address - Country:US
Practice Address - Phone:512-343-2800
Practice Address - Fax:512-343-2804
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010644111N00000X
TXAP124203363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3788Medicare UPIN
TX364664ZJEKMedicare PIN
TX366480Medicare PIN