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Individual
JESSICA PERALTA
Active
Individual
JESSICA PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP- BC
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
772024
TX
363LF0000X
Family Nurse Practitioner
Primary
1130833
TX
Other
Enumeration date
08/01/2023
Last updated
09/25/2023
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