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Individual
JESSICA STODIECK
Active
Individual
JESSICA STODIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP132562
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132562
TX
Other
Enumeration date
11/18/2016
Last updated
01/27/2025
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