Individual
DR. JENNIFER MARIE NUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4801 ALBERTA AVE., EL PASO, TX 79905
(915) 545-9799
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06320TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81642Q
BCBS OF TEXAS
TX
01
—
CO144917
DPS REGISTRATION
TX
Enumeration date
09/05/2006
Last updated
03/07/2023
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