Coufal, Jessica Michelle

Coufal, Jessica Michelle is an individual health care provider with primary practice located at 801 7Th Ave , Fort Worth TX 76104-2796. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Coufal, Jessica Michelle can be contacted via phone (210) 912-1212.

Contact Information

Primary practice address
801 7Th Ave Fort Worth TX 76104-2796
Phone: (210) 912-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1031341 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1031341 Texas

Profile Details

NPI number 1629780002
LBN Legal business name Coufal, Jessica Michelle
Credentials CPNP-AC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2022
Last updated May 9th, 2023 - about 3 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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