JENNIFER LYNN RAVENSCROFT D.O. NPI 1073501946

NPI Information

  • NPI: 1073501946
  • Provider Name: JENNIFER LYNN RAVENSCROFT, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 359 MEDICAL GROUP
    221 THIRD ST. WEST BLDG 1040
    JBSA-RANDOLPH, TX
    ZIP 78150
  • Phone: (210) 652-8544

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NPI Details

Jennifer Lynn Ravenscroft, D.O. is a family medicine in Jbsa-randolph, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jennifer Lynn Ravenscroft, D.O. NPI is 1073501946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

359 MEDICAL GROUP
221 THIRD ST. WEST BLDG 1040
JBSA-RANDOLPH, TX
ZIP 78150
Phone: (210) 652-8544

The NPI 1073501946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 4/25/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1776WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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