JENNIFER LISA GUSTAFSON


Address: 1600 W 38th St, Suite 300, Austin, TX 78731-6400
Phone: 5122614800

JENNIFER LISA GUSTAFSON (NPI# 1396154985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396154985
Entity Type Individual
Full Name JENNIFER LISA GUSTAFSON
Credential FNP
Practice Address 1600 W 38th St
Suite 300
Austin
TX 78731-6400
Mailing Address 14705 Little Fox Trl
Austin
TX 78734-2368
Practice Telephone 5122614800
Mailing Telephone 5124221991
Enumeration Date 2014-08-07
Last Update Date 2014-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP125891 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER GUSTAFSON

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1487997664 Jennifer K Gustafson Obstetrics & Gynecology 5673 Peachtree Dunwoody Rd Ste 700, Atlanta, GA 30342-1752 2013-04-05
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1013479609 Jennifer Lynn Gustafson Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2019-04-02
1861848814 Jennifer Gustafson Massage Therapist 5649 University Way Ne, Seattle, WA 98105-2619 2016-05-09
1386923175 Jennifer Christine Gustafson Counselor 1215 Sw G St, Grants Pass, OR 97526-2544 2011-08-10
1639475254 Jennifer Lee Gustafson Nurse Practitioner 2767 Olive Hwy, Oroville, CA 95966-6118 2011-01-28
1801037601 Jennifer Lynd Mosey Gustafson Marriage & Family Therapist 6425 Nicollet Ave, Richfield, MN 55423-1675 2009-03-09
1578717112 Jennifer Gustafson Occupational Therapist 305 S State St, Aberdeen, SD 57401-4527 2008-11-10

Office Location

Street Address 1600 W 38TH ST
SUITE 300
City AUSTIN
State TX
Zip Code 78731-6400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720087331 Kristen Katherine Ude Chiropractor 1600 W 38th St, Suite 412, Austin, TX 78731-6400 2005-07-15
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1396224549 Kelly Skiles Physician Assistant 1600 W 38th St, Austin, TX 78731-6400 2018-08-08
1316487911 Andrew Collentro Physical Therapist 1600 W 38th St, Ste 201, Austin, TX 78731-6400 2017-03-01
1225576093 Kathy Chung Marquez Physician Assistant 1600 W 38th St, Suite 200, Austin, TX 78731-6400 2017-02-01
1962948158 Thomajan Foot Care Pa Podiatrist 1600 W 38th St, Suite 318, Austin, TX 78731-6400 2017-01-11
1124563754 Austin Psychiatric Clinic, Pa Psychiatry & Neurology 1600 W 38th St, Suite 421, Austin, TX 78731-6400 2017-01-06
1942757240 U S Anesthesia Partners of Texas Anesthesiology 1600 W 38th St, Suite 306, Austin, TX 78731-6400 2016-09-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710892 Anew Era Tms & Psychiatry of Texas, Pa Psychiatry & Neurology 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 2020-11-06
1962016519 Jennie Rose Posey Clinical Nurse Specialist 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 2020-09-01
1437772373 Sharon Polackal Student in an Organized Health Care Education/Training Program Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 2020-05-27
1699309773 Modern Vision Group, Pllc Optometrist 3908 Far W Blvd, Austin, TX 78731 2020-02-27
1235699562 Catherine Kerrigan Social Worker 7514 N Mopac Expy, Suite 100, Austin, TX 78731 2019-03-22
1912474651 Austin Dental Spa, Pllc Dentist 3305 Northland Ste 515, Austin, TX 78731 2018-10-31
1982110938 Lindsey Sheppard Dietitian, Registered 7000 N Mopac Expy, Suite 200, Austin, TX 78731 2017-12-28
1144746066 Sarah Cotton Occupational Therapist 3520 Executive Center Drive, Suite 128, Austin, TX 78731 2017-08-22
1699299792 Avoia Mia Tapia Physical Therapist 3721 Executive Center Drive, Suite 201, Austin, TX 78731 2017-07-31
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1366049553 Lauren Nicole Crider Nurse Practitioner 3601 S Congress Ave Ste D100, Austin, TX 78704-7205 2020-10-01
1366059784 Teresa Marie Reed Nurse Practitioner 3921 Steck Ave Ste A120, Austin, TX 78759-8669 2020-09-29
1144836289 Amy Silva Nurse Practitioner 1824 Rainy Meadows Dr, Austin, TX 78758-3518 2020-09-22
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1487265013 Lisa Karen Brogan Nurse Practitioner 1805 Forest Hill Dr, Austin, TX 78745-1720 2020-08-17
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Competitor

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City AUSTIN
Zip Code 78731

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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