Individual
JESSIKA LEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-5589
Mailing address
36065 SANTA FE AVE, FORT HOOD, TX 76544-5060
(254) 553-5589
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
70267
OK
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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