Individual provider · NPI-1
Jessica Walton, RN
Registered Nurse, General Practice · Stafford, TX
NPI number1467229252
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1467229252
- Entity type
- Individual (NPI-1)
- Name
- Jessica Walton
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 1136168 | TX | Yes |
Other names
- Jessica Jones (Former Name)
Practice location
550 Stafford Run Rd Apt 1114Stafford, TX 77477-5650
Phone 832-652-4307
Mailing address
550 Stafford Run Rd Apt 1114Stafford, TX 77477-5650
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