Provider Demographics
NPI:1346678232
Name:VENTO, JESSICA ROEHRICK (FNP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ROEHRICK
Last Name:VENTO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:MARIE
Other - Last Name:ROEHRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:18023 PINSON DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3448
Mailing Address - Country:US
Mailing Address - Phone:287-782-7521
Mailing Address - Fax:
Practice Address - Street 1:632 BROADWAY PH
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2614
Practice Address - Country:US
Practice Address - Phone:800-731-4254
Practice Address - Fax:646-713-2321
Is Sole Proprietor?:No
Enumeration Date:2013-10-31
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX751012363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily