MEDICARE: MRS. JAIME RENEA SLEZIAK FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1227529	TX

General Provider Information

NPI Number	:	1013860196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAIME RENEA SLEZIAK FNP

Provider Business Mailing Address
First Line	:	3201 S LOOP 256
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-6906
Country	:	US
Telephone Number	:	903-723-2311
Fax Number	:	903-723-3259

Provider Business Practice Location Address
First Line	:	3201 S LOOP 256
Second Line	:
City	:	PALESTINE
State	:	TX
Zip	:	75801-6906
Country	:	US
Telephone Number	:	903-723-2311
Fax Number	:	903-723-3259

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	06/05/2026

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