Provider Demographics
NPI:1396331724
Name:JAMES, JENNIFER ANDREA (FNP, APRN)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ANDREA
Last Name:JAMES
Suffix:
Gender:F
Credentials:FNP, APRN
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:ANDREA
Other - Last Name:LIVINGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NONE
Mailing Address - Street 1:1412 MAY ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-7639
Mailing Address - Country:US
Mailing Address - Phone:817-625-8818
Mailing Address - Fax:817-625-7850
Practice Address - Street 1:1412 MAY ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-7639
Practice Address - Country:US
Practice Address - Phone:817-625-8818
Practice Address - Fax:817-625-7850
Is Sole Proprietor?:No
Enumeration Date:2020-12-20
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143794363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily