Healthcare Provider Details

I. General information

NPI: 1801600465
Provider Name (Legal Business Name): JESLINE SARA JESTINE APRN; FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

763 E US HIGHWAY 80 STE 230
FORNEY TX
75126-8682
US

IV. Provider business mailing address

304 ADMINISTRATION DR
DENTON TX
76209-2098
US

V. Phone/Fax

Practice location:
  • Phone: 945-316-9356
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number37913
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1000413
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: