Provider Demographics
NPI:1306218946
Name:CUDE, JENNIFER MARIE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:CUDE
Suffix:
Gender:F
Credentials:NP-C
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Mailing Address - Street 1:2500 S LAKELINE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2968
Mailing Address - Country:US
Mailing Address - Phone:512-345-8970
Mailing Address - Fax:512-345-6689
Practice Address - Street 1:4511 HORIZON HILL BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2398
Practice Address - Country:US
Practice Address - Phone:210-477-2626
Practice Address - Fax:210-477-2650
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP129434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily