Individual
JESSICA ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5414 S BROADWAY AVE, TYLER, TX 75703-1335
(903) 581-1601
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0008687
CO
363A00000X
Physician Assistant
Primary
PA10251
TX
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351895303
—
TX
05
—
351895304
—
TX
05
—
351895305
—
TX
05
—
351895306
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-0818167-044
TRICARE
TX
01
—
75-0818167-048
TRICARE
TX
01
—
75-1976930-005
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-041
TRICARE
TX
01
—
8491NY
BCBS
TX
01
—
8492NY
BCBS
TX
01
—
8493NY
BCBS
TX
01
—
8627NY
BCBS
TX
01
—
P01707527
RAIL ROAD MEDICARE
TX
01
—
P01719711
RAIL ROAD MEDICARE
TX
01
—
P01719714
RAIL ROAD MEDICARE
TX
Enumeration date
08/26/2015
Last updated
08/07/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us