Individual
MRS. JESSICA ELIZABETH DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6161 N STATE HWY 161 #200, IRVING, TX 75038-2220
(972) 258-7499
Mailing address
9000 SAGEWOOD DR APT 10103, FORT WORTH, TX 76177-2287
(817) 937-9443
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PA13973
TX
363A00000X
Physician Assistant
—
TX
Other
Enumeration date
09/18/2020
Last updated
10/03/2022
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