MEDICARE: JENNIFER WINTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist	1011215	TX

General Provider Information

NPI Number	:	1497605315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER WINTER

Provider Business Mailing Address
First Line	:	520 NW JAYELLEN AVE
Second Line	:
City	:	BURLESON
State	:	TX
Zip	:	76028-5256
Country	:	US
Telephone Number	:	262-758-7187
Fax Number	:

Provider Business Practice Location Address
First Line	:	5844 SW LOOP 820 # 138
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-1868
Country	:	US
Telephone Number	:	262-758-7187
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ JENNIFER WINTER ” Practice Location

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