Licea, Jessica Louise

Licea, Jessica Louise is an individual health care provider with primary practice located at 510 N Hewitt Dr , Hewitt TX 76643-3038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Licea, Jessica Louise can be contacted via phone (254) 420-5000.

Contact Information

Primary practice address
510 N Hewitt Dr Hewitt TX 76643-3038
Phone: (254) 420-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Texas

Profile Details

NPI number 1508623273
LBN Legal business name Licea, Jessica Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2024
Last updated Feb 29th, 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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