Individual
MRS. ANN M JESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7866
(915) 521-7210
Mailing address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 790-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
678425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678425
TEXAS STATE LICENSE
TX
Enumeration date
05/09/2006
Last updated
06/25/2015
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