Individual
MS. JESSICA LYNN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - FNP
Contact information
Practice address
1139 E SONTERRA BLVD, #405, SAN ANTONIO, TX 78258-4347
(210) 404-0000
(210) 404-2812
Mailing address
1139 E SONTERRA BLVD STE 405, SAN ANTONIO, TX 78258-4352
(210) 404-0000
(210) 404-2812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
733196
TX
363LF0000X
Family Nurse Practitioner
733196
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328346701
—
TX
01
—
8293ND
BCBSTX
TX
01
—
P01297191
RAILROAD MEDICARE PTAN
TX
Enumeration date
08/21/2013
Last updated
02/11/2022
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