DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA GRACE NORDSTROM M.D.

MEDICARE: JESSICA GRACE NORDSTROM M.D.
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
1207R00000XInternal Medicine PhysicianL9399TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28J1473OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
48BR066OTHERTXBCBS

General Provider Information

NPI Number : 1023058815
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA GRACE NORDSTROM M.D.
Provider Business Mailing Address
First Line : 4161 MCKINNEY AVE STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75204-8233
Country : US
Telephone Number : 972-817-7040
Fax Number : 972-817-7050
Provider Business Practice Location Address
First Line : 4161 MCKINNEY AVE STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75204-8233
Country : US
Telephone Number : 972-817-7040
Fax Number : 972-817-7050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 12/09/2024

Similar Medicare Providers

1982201901 — ALEKSANDRA GOLDEN PA-C
Practice Location Address:
4161 MCKINNEY AVE STE 300
DALLAS, TX
75204-8233
Practice Phone: 972-817-7040
Practice Fax:
1649470089 — DR. SHARI CAROLYN GAMARNIK MD
Practice Location Address:
4161 MCKINNEY AVE STE 300
DALLAS, TX
75204-8233
Practice Phone: 214-219-6655
Practice Fax: 214-219-6660
1245608330 — MRS. STEPHANIE LYNCH RICHARDS PA-C
Practice Location Address:
4161 MCKINNEY AVE STE 300
DALLAS, TX
75204-8233
Practice Phone: 214-219-6655
Practice Fax:
1750944708 — DR. KATHERINE ELISABETH BOUCHARD DO
Practice Location Address:
4161 MCKINNEY AVE STE 300
DALLAS, TX
75204-8233
Practice Phone: 972-817-7040
Practice Fax:
1245948405 — PEYTON NICOLE TRAVIS
Practice Location Address:
4161 MCKINNEY AVE STE 300
DALLAS, TX
75204-8233
Practice Phone: 972-817-7040
Practice Fax:
1861200479 — HYEYOON NIKI JOO
Practice Location Address:
8233 SOUTHWESTERN BLVD APT 1036
DALLAS, TX
75206-2153
Practice Phone: 972-533-1300
Practice Fax:

Directions to “ JESSICA GRACE NORDSTROM M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.