Individual
JESSIE LOUISE DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
433 CIRCLEVIEW DR S, HURST, TX 76054-3524
(903) 504-4154
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
952630
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1186482
TX
Other
Enumeration date
01/03/2025
Last updated
03/19/2025
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