Individual
JESSICA KENNESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3603 BARBERRY DR, WYLIE, TX 75098-8557
(469) 386-4484
Mailing address
3603 BARBERRY DR, WYLIE, TX 75098-8557
(469) 386-4484
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
968529
TX
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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