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NPI Code Detail

MEDICARE: MRS. JESSICA COLUNGA FNP-BC

MEDICARE: MRS. JESSICA COLUNGA FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP127517TX

General Provider Information

NPI Number : 1326430992
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA COLUNGA FNP-BC
Provider Business Mailing Address
First Line : 700 N MAIN ST
Second Line :
City : FORT STOCKTON
State : TX
Zip : 79735-5626
Country : US
Telephone Number : 432-336-8110
Fax Number :
Provider Business Practice Location Address
First Line : 700 N MAIN ST
Second Line :
City : FORT STOCKTON
State : TX
Zip : 79735-5626
Country : US
Telephone Number : 432-336-8110
Fax Number : 833-415-1031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2015
Last Update Date : 10/28/2024

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Directions to “ MRS. JESSICA COLUNGA FNP-BC” Practice Location

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