Provider Demographics
NPI:1639259286
Name:JANZEN, JENNIFER EVE (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:EVE
Last Name:JANZEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 DROVERS LN
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-5444
Mailing Address - Country:US
Mailing Address - Phone:325-280-4959
Mailing Address - Fax:
Practice Address - Street 1:7950 DROVERS LN
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-5444
Practice Address - Country:US
Practice Address - Phone:325-280-4959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5744208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics