Healthcare Provider Details

I. General information

NPI: 1053993402
Provider Name (Legal Business Name): JESSICA JEAN-BAPTISTE SINGLETON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2021
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 HERFF RD STE 111
BOERNE TX
78006-2676
US

IV. Provider business mailing address

116 HERFF RD STE 111
BOERNE TX
78006-2676
US

V. Phone/Fax

Practice location:
  • Phone: 830-816-5055
  • Fax:
Mailing address:
  • Phone: 830-816-5055
  • Fax: 210-494-2631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberU8072
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: