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Jessica A Radley, FNP-BC
Family Nurse Practitioner in Columbus, Texas
NPI 1003057829

Jessica A Radley is a Family Nurse Practitioner based in Columbus, TX and is specialized in Family. Jessica A Radley practices in Columbus, TX and has the professional credentials of FNP-BC. The NPI Number for Jessica A Radley is 1003057829 and holds a License No. 677695 (Texas).

The current practice location address for Jessica A Radley is 109 Shult Dr, Columbus, TX and can be reached out via phone at 979-732-5794 and via fax at 979-732-5795.

Location: 109 Shult Dr, Columbus, TX, 78934-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003057829
Provider Name
Jessica A Radley
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
109 Shult Dr, Columbus, TX, 78934-3009
Phone Number
979-732-5794
Fax Number
979-732-5795
Provider Enumeration Date
03/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
677695 01 TX LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
109 Shult Dr
City
Columbus
State
Texas
Zip
78934-3009
Phone Number
979-732-5794
Fax Number
979-732-5795
person
Provider Business Mailing Address Details
Address
109 Shult Dr
City
Columbus
State
Texas
Zip
78934-3009
Phone Number
979-732-5794
Fax Number
979-732-5795
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
677695 (Texas)
Definition
Definition to come...
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