MEDICARE: JESSICA YVETTE OROZCO FNP-C

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	363LF0000X	Family Nurse Practitioner	1180722	TX

General Provider Information

NPI Number	:	1457159378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA YVETTE OROZCO FNP-C

Provider Business Mailing Address
First Line	:	14525 LONG SHADOW AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-4526
Country	:	US
Telephone Number	:	915-873-5377
Fax Number	:

Provider Business Practice Location Address
First Line	:	494 N KENAZO AVE
Second Line	:
City	:	HORIZON CITY
State	:	TX
Zip	:	79928-5419
Country	:	US
Telephone Number	:	915-845-7300
Fax Number	:

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

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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