Stodieck, Jessica

Stodieck, Jessica is an individual health care provider with primary practice located at 209 Old Highway 1187 , Burleson TX 76028. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stodieck, Jessica can be contacted via phone (817) 338-1300.

Contact Information

Primary practice address
209 Old Highway 1187 Burleson TX 76028
Phone: (817) 338-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP132562 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP132562 Texas

Profile Details

NPI number 1073056370
LBN Legal business name Stodieck, Jessica
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Mar 22nd, 2019 - about 7 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 1073056370 NPPES
Texas MEDICAID 390229801

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