Individual provider · NPI-1
Jessica Heather Emerald, RN, CPNP
Nurse Practitioner, Pediatrics · Cypress, TX
NPI number1073644910
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073644910
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Heather Emerald
- Credential
- RN, CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 648369 | TX | Yes |
Practice location
15315 Woodlawn Manor CtCypress, TX 77429-4986
Phone 281-256-7449
Mailing address
15315 Woodlawn Manor CtCypress, TX 77429-4986
Phone 281-256-7449
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