Provider Demographics
NPI:1881164960
Name:NARANJO, JENNINGS N II (MSN; FNP-C)
Entity type:Individual
Prefix:
First Name:JENNINGS
Middle Name:N
Last Name:NARANJO
Suffix:II
Gender:M
Credentials:MSN; FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 S MEDFORD DR STE 201
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-5621
Mailing Address - Country:US
Mailing Address - Phone:936-634-6334
Mailing Address - Fax:888-404-4853
Practice Address - Street 1:4100 S MEDFORD DR STE 201
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-5621
Practice Address - Country:US
Practice Address - Phone:936-634-6334
Practice Address - Fax:888-404-4853
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139720363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner