Modisette, Jessica Denise

Modisette, Jessica Denise is an sole proprietor health care provider with primary practice located at 707 E Marshall Ave , Longview TX 75601-5545. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Modisette, Jessica Denise can be contacted via phone (903) 315-5400.

Contact Information

Primary practice address
707 E Marshall Ave Longview TX 75601-5545
Phone: (903) 315-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 833036 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1073260 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1073260 Texas

Profile Details

NPI number 1386393213
LBN Legal business name Modisette, Jessica Denise
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2022
Last updated May 5th, 2022 - 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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