Individual
JESSICA ERIN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3 LINDA CT, LONGVIEW, TX 75601-6060
(903) 472-1277
Mailing address
3 LINDA CT, LONGVIEW, TX 75601-6060
(903) 472-1277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
901134
TX
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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