Individual
JESSICA CHOROSTECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390
(214) 633-4700
Mailing address
6603 FORNEY BRANCH CT, DALLAS, TX 75227
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
214923
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1179890
TX
Other
Enumeration date
11/13/2024
Last updated
11/14/2024
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