Individual provider · Type 1 NPI

Jenna M. Ortiz

Nurse Practitioner · Live Oak, TX

NPI number 1104718469 Active

Practice location

12500 Judson Rd Ste 300
Live Oak, TX 78233-4146

Call (210) 967-0096 Map

Fax (210) 967-0383

Other practice locations

  • 11212 State Highway 151 Ste 100, San Antonio, TX 78251-4500 · (210) 703-8925

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X1215373 (TX)
Nurse Practitioner Primary 363L00000X1215373 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1104718469

Jenna M. Ortiz's National Provider Identifier is 1104718469, issued on Jul 18, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Live Oak, TX. The record was last updated on Apr 23, 2026.