Individual
JESSICA A DIEFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
PO BOX 50003, SPARKS, NV 89435-0003
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
879400
NV
Other
Enumeration date
06/05/2020
Last updated
04/16/2025
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