Provider Demographics
NPI:1215608716
Name:LINFORD, JENNIFER (APRN, FNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LINFORD
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 N MESA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4019
Mailing Address - Country:US
Mailing Address - Phone:519-532-6935
Mailing Address - Fax:915-248-0208
Practice Address - Street 1:1500M N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4019
Practice Address - Country:US
Practice Address - Phone:915-532-6935
Practice Address - Fax:915-248-0208
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX917236163WX0601X
TX1055514363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0601XNursing Service ProvidersRegistered NurseOtorhinolaryngology & Head-Neck