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NPI Code Detail

MEDICARE: JENNIFER NICOLE FOWLER FNP-C

MEDICARE: JENNIFER NICOLE FOWLER FNP-C
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
1363LF0000XFamily Nurse Practitioner1072190TX

General Provider Information

NPI Number : 1841937901
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NICOLE FOWLER FNP-C
Provider Business Mailing Address
First Line : 8168 HWY 77
Second Line :
City : SINTON
State : TX
Zip : 78387-9746
Country : US
Telephone Number : 361-364-2804
Fax Number : 361-364-5014
Provider Business Practice Location Address
First Line : 1201 FANNIN ST STE 262
Second Line :
City : HOUSTON
State : TX
Zip : 77002-6943
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2022
Last Update Date : 03/18/2026

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Directions to “ JENNIFER NICOLE FOWLER FNP-C” Practice Location

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