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Jennifer Licon, FNP-C
Family Nurse Practitioner in Amarillo, Texas
NPI 1720721590

Jennifer Licon is a Family Nurse Practitioner based in Amarillo, TX and is specialized in Family. Jennifer Licon practices in Amarillo, TX and has the professional credentials of FNP-C. The NPI Number for Jennifer Licon is 1720721590 and holds a License No. AP1071121 (Texas).

The current practice location address for Jennifer Licon is 2701 S Georgia St, Amarillo, TX and can be reached out via phone at 806-350-3000.

Location: 2701 S Georgia St, Amarillo, TX, 79109-1531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720721590
Provider Name
Jennifer Licon
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2701 S Georgia St, Amarillo, TX, 79109-1531
Phone Number
806-350-3000
Fax Number
Provider Enumeration Date
04/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2701 S Georgia St
City
Amarillo
State
Texas
Zip
79109-1979
Phone Number
806-350-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2701 S Georgia St
City
Amarillo
State
Texas
Zip
79109-1979
Phone Number
806-350-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP1071121 (Texas)
Definition
Definition to come...
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