Individual
JENNIFER D NUESSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
351 CYPRESS CREEK RD STE 202, CEDAR PARK, TX 78613-4657
(512) 244-4272
Mailing address
2000 S MAYS ST STE 201, ROUND ROCK, TX 78664-7580
(512) 244-4272
(512) 244-2895
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218623101
—
TX
05
—
218623104
—
TX
Enumeration date
12/20/2007
Last updated
04/13/2021
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