Mrs Jennifer Mingboupha, LVN is a
Licensed Practical Nurse based in Lindale, Texas. Mrs Jennifer Mingboupha is licensed to practice in Texas (license number 351888) and her current practice location is
509 Molly Ln, Lindale, Texas. She can be reached at her office (for appointments etc.) via phone at
(682) 219-8677.
NPI number for Mrs Jennifer Mingboupha is 1043829336 and her current mailing address is 509 Molly Ln, Lindale, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043829336.
Provider's Profile
Full Name | Mrs Jennifer Mingboupha |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 509 Molly Ln, Lindale, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043829336
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 07/23/2020
Medical Identifiers
Medical identifiers for Mrs Jennifer Mingboupha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043829336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 351888 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Mingboupha is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jennifer Mingboupha, LVN 509 Molly Ln, Lindale, TX 75771-6537 Ph: (682) 219-8677 | Mrs Jennifer Mingboupha, LVN 509 Molly Ln, Lindale, TX 75771-6537 Ph: (682) 219-8677 |
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