# JESSICA PATHROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669095477
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 323640 | NY | — |
| 208000000X | Pediatrics Physician | W4924 | TX | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | W4924 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2020
- **Last updated:** 06/01/2026