Provider Demographics
NPI:1215796529
Name:ABNEY, JESSICA ELAYNE (FNP-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ELAYNE
Last Name:ABNEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ELAYNE
Other - Last Name:APPLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:202 S FM 1346 STE 2
Mailing Address - Street 2:
Mailing Address - City:LA VERNIA
Mailing Address - State:TX
Mailing Address - Zip Code:78121-4282
Mailing Address - Country:US
Mailing Address - Phone:210-964-0472
Mailing Address - Fax:
Practice Address - Street 1:202 S FM 1346 STE 2
Practice Address - Street 2:
Practice Address - City:LA VERNIA
Practice Address - State:TX
Practice Address - Zip Code:78121-4282
Practice Address - Country:US
Practice Address - Phone:210-964-0472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1155119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily