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Individual
JESSICA MEDFORD
Active
Individual
JESSICA MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125198
TX
363LF0000X
Family Nurse Practitioner
R39610
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340018601
—
TX
Enumeration date
11/01/2013
Last updated
06/22/2023
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