Individual provider · NPI-1

Dr. Jessica Peck, DNP, RN, CPNP-PC

Nurse Practitioner, Pediatrics · League City, TX

NPI number1710420336
StatusActive
Last updated in NPPESNov 30, 2016

Details

NPI
1710420336
Entity type
Individual (NPI-1)
Name
Dr. Jessica Peck
Credential
DNP, RN, CPNP-PC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2016
Last updated
Nov 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsAP112232TXYes

Other names

  • Jessica Lynn Human (Former Name)

Practice location

3831 East League City Parkway
Suite A
League City, TX 77573

Phone 281-515-2643

Mailing address

3831 East League City Parkway
Suite A
League City, TX 77573

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