Healthcare Provider Details

I. General information

NPI: 1366121394
Provider Name (Legal Business Name): JENNY ABIGAIL MCPHERSON APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNY ABIGAIL RAMIREZ

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5817 PATTON ST STE 101
CORPUS CHRISTI TX
78414-2428
US

IV. Provider business mailing address

5817 PATTON ST STE 101
CORPUS CHRISTI TX
78414-2428
US

V. Phone/Fax

Practice location:
  • Phone: 361-992-9383
  • Fax: 361-992-9543
Mailing address:
  • Phone: 361-992-9383
  • Fax: 361-992-9543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1126842
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: