MEDICARE: JACKLINE JEPCHIRCHIR KEMEI

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	363LF0000X	Family Nurse Practitioner	1216525	TX

General Provider Information

NPI Number	:	1568327989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKLINE JEPCHIRCHIR KEMEI

Provider Business Mailing Address
First Line	:	12047 POTRANCO RD STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7555
Country	:	US
Telephone Number	:	210-571-1338
Fax Number	:

Provider Business Practice Location Address
First Line	:	12047 POTRANCO RD STE 105
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-7555
Country	:	US
Telephone Number	:	210-571-1338
Fax Number	:

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

Similar Medicare Providers

1215665591 — SELENA MARIE VILLARREAL
Practice Location Address:

12047 POTRANCO RD STE 105
SAN ANTONIO, TX
78253-7555

Practice Phone: 210-571-1338
Practice Fax: 210-571-1339

1912601907 — ALAMO PRIMARY CARE OF POTRANCO PLLC
Practice Location Address:

12047 POTRANCO RD STE 105
SAN ANTONIO, TX
78253-7555

Practice Phone: 210-571-1338
Practice Fax: 210-571-1339

1558166611 — ERIC ABRAHAM ORNELAS FNP-C
Practice Location Address:

12047 POTRANCO RD STE 105
SAN ANTONIO, TX
78253-7555

Practice Phone: 210-571-1338
Practice Fax: 210-571-1339

1841212073 — JENNIFER MARIE SHADROCK FNP
Practice Location Address:

7555 NW LOOP 410 , SUITE 114
SAN ANTONIO, TX
78245-2148

Practice Phone: 210-520-8070
Practice Fax: 210-521-7688

1720288806 — MS. CAROL ANN KELLY DILWORTH L.B.S.W
Practice Location Address:

7555 FOSS MDWS
SAN ANTONIO, TX
78244-2250

Practice Phone: 210-875-4663
Practice Fax: --

1366781148 — SUZANIE LORI JENNIFER CANO PT, DPT
Practice Location Address:

7555 NW LOOP 410 STE 114
SAN ANTONIO, TX
78245-2148

Practice Phone: 210-520-8070
Practice Fax: 210-521-7688

Directions to “ JACKLINE JEPCHIRCHIR KEMEI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.