Waller, Jessica Crosby

Waller, Jessica Crosby is an sole proprietor health care provider with primary practice located at 2329 Oak Aly , Tyler TX 75703-5875. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Waller, Jessica Crosby can be contacted via phone (469) 939-2266.

Contact Information

Primary practice address
2329 Oak Aly Tyler TX 75703-5875
Phone: (469) 939-2266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1528839073
LBN Legal business name Waller, Jessica Crosby
Credentials MSCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2024
Last updated Jan 12th, 2024 - about 11 months 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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