Provider Demographics
NPI:1366644908
Name:SORCE, JENNIFER TURIAN (RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:TURIAN
Last Name:SORCE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:TURIAN
Other - Last Name:SORCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, MSN
Mailing Address - Street 1:2801 SANTA ESPERANZA
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7542
Mailing Address - Country:US
Mailing Address - Phone:956-519-9991
Mailing Address - Fax:
Practice Address - Street 1:2101 S CYNTHIA ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1294
Practice Address - Country:US
Practice Address - Phone:956-867-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX633884363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily