Individual
JESSIE SALES BERNABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
5203 LAKE RIDGE PKWY, GRAND PRAIRIE, TX 75052-3006
(682) 218-5400
Mailing address
5203 LAKE RIDGE PKWY, GRAND PRAIRIE, TX 75052-3006
(682) 218-5400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP140250
TX
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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