Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Bliven

Individual provider Nurse Practitioner · NPI 1962119990

Jacqueline Bliven is a Nurse Practitioner in Corpus Christi, Texas. Qualified in 2022, 4 years ago. Practices with Conviva Medical Center Management of Texas, PA, a 148-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

5718 Spohn Dr Ste 100
Corpus Christi, TX 78414-4265
Phone: (361) 980-0808
Fax: (361) 980-0088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1097441 (TX)

Record details

NPI number1962119990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Conviva Medical Center Management Of Texas, P.A. — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Corpus Christi