Provider Demographics
NPI:1285047613
Name:LINDER, JENNIFER (RN-BSN, RNFA, CNOR)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:LINDER
Suffix:
Gender:F
Credentials:RN-BSN, RNFA, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10217 SALEM WAY
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708
Mailing Address - Country:US
Mailing Address - Phone:210-748-0978
Mailing Address - Fax:
Practice Address - Street 1:10217 SALEM WAY
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-6131
Practice Address - Country:US
Practice Address - Phone:210-748-0978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1462207T00000X
TX814313364SP2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperative
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery