Canales, Jessica

Canales, Jessica is an individual health care provider with primary practice located at 4845 Alameda Ave , El Paso TX 79905-2705. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Canales, Jessica can be contacted via phone (915) 298-5444.

Contact Information

Primary practice address
4845 Alameda Ave El Paso TX 79905-2705
Phone: (915) 298-5444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 772023 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP132668 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP132668 Texas

Profile Details

NPI number 1720521354
LBN Legal business name Canales, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2016
Last updated Aug 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720521354 NPPES
Texas MEDICAID 000000

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