MEDICARE: JESSICA MIRELES PMHNP, APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1218346	TX

General Provider Information

NPI Number	:	1588514178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MIRELES PMHNP, APRN

Provider Business Mailing Address
First Line	:	7100 WESTWIND DR STE 300C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-1786
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 WESTWIND DR STE 300C
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-1786
Country	:	US
Telephone Number	:	915-974-2200
Fax Number	:

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

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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