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NPI 1972480200

NPI 1972480200 : JESSICA A SILVA : EAGLE PASS, TX

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General NPI Number Information
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    NPI Number           |    1972480200
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    Entity Type          |    Individual 
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    Provider Name        |    JESSICA A SILVA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    2525 N VETERANS BLVD BLDG 2 
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    City                 |    EAGLE PASS
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    State                |    TX
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    Zip                  |    78852-3302
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    Country              |    US
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    Telephone            |    830-773-1635
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    Fax                  |    877-432-6151
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1470 
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    City                 |    EAGLE PASS
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    State                |    TX
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    Zip                  |    78853-1470
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    Country              |    US
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    Telephone            |    830-773-8917
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    Fax                  |    830-773-1892
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    1208380
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    License Number State |    TX
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