Individual
MS. JESSICA ANNETT CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2768 PHARMACY RD, RIO GRANDE CITY, TX 78582-6201
(956) 487-5621
Mailing address
2768 PHARMACY RD, RIO GRANDE CITY, TX 78582-6201
(956) 487-5621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP139076
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP139076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP139076
TBON
TX
Enumeration date
10/09/2018
Last updated
01/04/2022
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