Provider Demographics
NPI:1720364144
Name:COX, JACQUELINE SANTOS (FNP)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:SANTOS
Last Name:COX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:205 E UNIVERSITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-6821
Mailing Address - Country:US
Mailing Address - Phone:512-686-0207
Mailing Address - Fax:512-869-2940
Practice Address - Street 1:7000 WOODHUE DR
Practice Address - Street 2:BLDG C
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-439-0701
Practice Address - Fax:513-439-0702
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP119797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily