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Individual
JESSICA KATHOL DEINERT
Active
Individual
JESSICA KATHOL DEINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP128998
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373349501
—
TX
01
—
373349502
MEDICAID CSHCN
TX
Enumeration date
12/16/2015
Last updated
07/16/2020
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