Acosta, Jessica B

Acosta, Jessica B is an individual health care provider with primary practice located at 5282 Medical Dr Ste 240 , San Antonio TX 78229-4849. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Acosta, Jessica B can be contacted via phone (210) 358-8820.

Contact Information

Primary practice address
5282 Medical Dr Ste 240 San Antonio TX 78229-4849
Phone: (210) 358-8820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP123873 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP123873 Texas

Profile Details

NPI number 1063852283
LBN Legal business name Acosta, Jessica B
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated May 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063852283 NPPES
Texas MEDICAID 325176103

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