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Active NPI 1043829336 Individual Practitioner Female Practitioner

Jennifer Mingboupha , LVN

Licensed Practical Nurse • Lindale, TX

Professional Overview & Biography Verified Profile Summary

Jennifer Mingboupha, LVN is a registered healthcare professional specializing in Licensed Practical Nurse in Lindale, TX. Practice services are available at 509 MOLLY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

509 Molly Ln

Lindale, TX 757716537

Telephone 6822198677

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lindale, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Lindale, TX (727 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-07-23
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TX 351888

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2020

Registered at 509 MOLLY LN, LINDALE, TX 757716537 (Tel: 6822198677)

📍
Updated Business Mailing Address July 23, 2020

Registered at 509 MOLLY LN, LINDALE, TX 757716537 (Tel: 6822198677)

👤
Provider Name / Credentials Updated July 23, 2020

Recorded as JENNIFER MINGBOUPHA, LVN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2020

Licensed Practical Nurse (License #351888 in TX)

🟢
Initial NPI Registration & Enumeration July 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043829336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2020
Last Update: July 23, 2020
Sole Proprietor: No
Update or Correct Profile

Mailing Address

509 Molly Ln

Lindale, TX 757716537

Phone: 6822198677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.