DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER LYNN RAVENSCROFT, D.O.

Active

JENNIFER LYNN RAVENSCROFT, D.O. is a Family Medicine healthcare provider located in JBSA-RANDOLPH, Texas. NPI 1073501946 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · JBSA-RANDOLPH, TX

Registration Details

NPI Number
1073501946
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2005 (20.655910683293 yrs)
Last Updated
Apr 25, 2018
License
1776 (WV)

Practice Information

Address
359 MEDICAL GROUP
221 THIRD ST. WEST BLDG 1040
JBSA-RANDOLPH, TX, 78150
Browse TX providers · Browse ZIP 78150
Phone
2106528544
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.