Provider Demographics
NPI:1184904336
Name:ZAVALA, JENNIFER L (NP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:L
Last Name:ZAVALA
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Gender:F
Credentials:NP
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Mailing Address - Street 1:19272 STONE OAK PKWY
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3372
Mailing Address - Country:US
Mailing Address - Phone:210-265-8851
Mailing Address - Fax:210-265-8855
Practice Address - Street 1:19272 STONE OAK PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3371
Practice Address - Country:US
Practice Address - Phone:210-265-8851
Practice Address - Fax:210-265-8855
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2024-07-31
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Provider Licenses
StateLicense IDTaxonomies
TXAP120771207Q00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine