Individual provider · NPI-1
Jennyfer Beridis Alvarado
Nurse Practitioner, Family · Laredo, TX
NPI number1336016096
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1336016096
- Entity type
- Individual (NPI-1)
- Name
- Jennyfer Beridis Alvarado
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2025
- Certification date
- Nov 10, 2025
- Last updated
- Nov 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1216696 | TX | Yes |
| 163W00000X | Registered Nurse | 983278 | TX |
Practice location
11110 Mines Rd Ste 104Laredo, TX 78045-7981
Phone 956-625-2030
Mailing address
11110 Mines Rd Ste 104Laredo, TX 78045-7981
Phone 956-625-2030
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