Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP135088 | TX |
N | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | RNI88599 | GA |
NPI | 1003260720 |
---|---|
Provider Name | Jennifer Krena |
First Address | Austin, TX 78752-3825 |
Second Address | Austin, TX 78723-3079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2016 |
Last Update Date | 02/11/2018 |