MEDICARE: JENNIFER GIFFEN

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	163W00000X	Registered Nurse	769587	TX

General Provider Information

NPI Number	:	1871455790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GIFFEN

Provider Business Mailing Address
First Line	:	2112 KAISER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-3430
Country	:	US
Telephone Number	:	318-914-2664
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 KAISER DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-3430
Country	:	US
Telephone Number	:	318-914-2664
Fax Number	:

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ JENNIFER GIFFEN ” Practice Location

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