Provider Demographics
NPI:1356933584
Name:NAVA, IVANE JENNIFER (APRN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:IVANE
Middle Name:JENNIFER
Last Name:NAVA
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W LEONA ST
Mailing Address - Street 2:
Mailing Address - City:DILLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78017-3705
Mailing Address - Country:US
Mailing Address - Phone:830-965-1797
Mailing Address - Fax:830-965-9913
Practice Address - Street 1:606 W LEONA ST
Practice Address - Street 2:
Practice Address - City:DILLEY
Practice Address - State:TX
Practice Address - Zip Code:78017-3705
Practice Address - Country:US
Practice Address - Phone:830-965-1797
Practice Address - Fax:830-965-9913
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1032011363LF0000X
TX789315163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse