Individual
JESSICA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-0624
(214) 393-2945
Mailing address
4031 HOLLAND AVE, UNIT G, DALLAS, TX 75219-3833
(361) 772-7992
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06600
TX
Other
Enumeration date
02/09/2010
Last updated
09/09/2013
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