Provider Demographics
NPI:1114473659
Name:JENDRO, GINGER (FNP-C)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:
Last Name:JENDRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1619 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:CANYON
Mailing Address - State:TX
Mailing Address - Zip Code:79015-3824
Mailing Address - Country:US
Mailing Address - Phone:806-557-4674
Mailing Address - Fax:806-557-4165
Practice Address - Street 1:90 S MAGNOLIA POND PL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-5004
Practice Address - Country:US
Practice Address - Phone:806-632-4819
Practice Address - Fax:833-420-1614
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX597042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily