Individual
MS. JESSICA PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
300 W VETERANS BLVD, BIG SPRING, TX 79720-5566
(432) 263-7361
Mailing address
1712 LYDIAN DR, RACINE, WI 53403-3254
(262) 930-5366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163062-30
WI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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