Provider Demographics
NPI:1932881059
Name:DELGADO OURAND, JENNIFER BROOKS (FNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:BROOKS
Last Name:DELGADO OURAND
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:BROOKS
Other - Last Name:OURAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9832 MONACO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-6048
Mailing Address - Country:US
Mailing Address - Phone:812-249-8917
Mailing Address - Fax:
Practice Address - Street 1:10201 GATEWAY BLVD W STE 201
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7647
Practice Address - Country:US
Practice Address - Phone:915-206-2141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1124700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily