Provider Demographics
NPI:1225624612
Name:REFERENTE, JENINE THERESE CATALAN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JENINE THERESE
Middle Name:CATALAN
Last Name:REFERENTE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14262 MASON RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5584
Mailing Address - Country:US
Mailing Address - Phone:213-550-9887
Mailing Address - Fax:
Practice Address - Street 1:4625 COIT RD STE 210
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4927
Practice Address - Country:US
Practice Address - Phone:469-294-9999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily