Individual
JESSICA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
120 W MAIN ST STE 220, MESQUITE, TX 75149-4224
(214) 351-3490
Mailing address
120 W MAIN ST STE 220, MESQUITE, TX 75149-4224
(214) 351-3490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1081657
TX
Other
Enumeration date
08/25/2023
Last updated
03/20/2024
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