Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA RAE GALLEGOS | 1699289892 | 2022-06-26 |
Jessica Rae Gallegos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699289892. Registration indicates Jessica Rae Gallegos is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Nurse Practitioner: Pediatrics, Critical Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, Critical Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Jessica Rae Gallegos CPNP-AC |
Practice Office Address | 333 N SANTA ROSA SAN ANTONIO, TX US |
Practice Office Telephone | 2107042011 |
Mailing Address | 315 N SAN SABA STE 1135 SAN ANTONIO, TX 782073255 US |
Business Telephone | 2107043030 |
Address | City / State | Phone / Fax |
---|---|---|
6701 Fannin St | Houston, TX 770302608 | 8328241000 |
Code | Practice | License No State |
---|---|---|
363LP0222X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics, Critical Care All Other Specialties & Provider Types Nurse Practitioner Pediatrics, Critical Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 827370
TX |
363LP0222X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics, Critical Care All Other Specialties & Provider Types Nurse Practitioner Pediatrics, Critical Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AP135893
TX |