MEDICARE: JESSICA LYNN BELLOWS APRN-CNP, PMHNP-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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1126902	TX

General Provider Information

NPI Number	:	1457037954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN BELLOWS APRN-CNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	4201 MEDICAL CENTER DR STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1769
Country	:	US
Telephone Number	:	469-742-0199
Fax Number	:	972-542-4106

Provider Business Practice Location Address
First Line	:	4201 MEDICAL CENTER DR STE 200
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75069-1769
Country	:	US
Telephone Number	:	469-742-0199
Fax Number	:	972-542-4106

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

Provider Enumeration Date	:	06/27/2023
Last Update Date	:	04/14/2026

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