Individual ProviderJennifer Treadaway FosterNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6835 Austin Center Blvd, Austin, TX 78731-3166(512) 346-6611PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Treadaway Foster does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1518478395Provider TypeIndividualFull NameFoster, Jennifer TreadawayCredentialFNP-CGenderFemaleSole ProprietorYesEnumeration Date10/19/2017Last Updated4/5/2021Contact InformationPractice LocationPractice Address6835 Austin Center Blvd, Austin, TX 78731-3166Phone(512) 346-6611Fax(512) 406-7315Mailing LocationMailing Address6210 E Us Hwy 290, Ste 420 - Credentialing, Austin, TX 78723-1098PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP135222TexasProvider IdentifiersIDDescriptionIssuerID382612503DescriptionMedicaidIssuerUnlistedTexasID382612502DescriptionMedicaidIssuerUnlistedTexas