Individual
MRS. JESSICA ANNE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGACNP-BC
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7200
(214) 633-5555
Mailing address
811 BROOKHURST DR, RICHARDSON, TX 75080-5003
(214) 529-2811
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
801567
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139108
TX
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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