Provider Demographics
NPI:1912133992
Name:FLORES, JESSICA YVETTE (PA)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:YVETTE
Last Name:FLORES
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:214 CHAPARRAL BLVD
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-4605
Mailing Address - Country:US
Mailing Address - Phone:956-263-1830
Mailing Address - Fax:956-263-1836
Practice Address - Street 1:214 CHAPARRAL BLVD
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-4605
Practice Address - Country:US
Practice Address - Phone:956-263-1830
Practice Address - Fax:956-263-1836
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2019-07-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA05952OtherTEXAS LICENSE