Wesley, Jessica Colleen
Wesley, Jessica Colleen is an individual health care provider with primary practice located at 1464 E Whitestone Blvd Ste 2104 , Cedar Park TX 78613-9079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wesley, Jessica Colleen can be contacted via phone (512) 260-8100.Contact Information
Primary practice address
1464 E Whitestone Blvd Ste 2104
Cedar Park TX 78613-9079
Phone: (512) 260-8100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | AP123965 | Texas |
Profile Details
| NPI number | 1306220181 |
|---|---|
| LBN Legal business name | Wesley, Jessica Colleen |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2015 |
| Last updated | Feb 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306220181 | NPPES |
| Texas | MEDICAID | 361998301 |
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