Healthcare Provider Details

I. General information

NPI: 1497145932
Provider Name (Legal Business Name): JENNIFER DARBY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER WALKER

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E DAVIS ST STE A
CONROE TX
77301-3102
US

IV. Provider business mailing address

PO BOX 650859 DEPT 710
DALLAS TX
75265-3099
US

V. Phone/Fax

Practice location:
  • Phone: 409-266-1888
  • Fax:
Mailing address:
  • Phone: 409-747-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP127393
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: