Individual
JESSICA L BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
500 MEDICAL CENTER BLVD, CONROE, TX 77304-2889
(936) 539-1111
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP137955
TX
363LG0600X
Gerontology Nurse Practitioner
71013551A
IN
Other
Enumeration date
07/09/2018
Last updated
02/06/2023
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