Provider Demographics
NPI:1144047069
Name:NAVAREZ, JENNIFER DANELLE (FNP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:DANELLE
Last Name:NAVAREZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:DANELLE
Other - Last Name:REINHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3302 W GOLF COURSE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-5110
Mailing Address - Country:US
Mailing Address - Phone:432-522-2304
Mailing Address - Fax:432-522-2307
Practice Address - Street 1:3302 W GOLF COURSE RD STE 100
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5110
Practice Address - Country:US
Practice Address - Phone:432-522-2304
Practice Address - Fax:432-522-2307
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175942363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily