Jessica Corporon
Jessica Corporon is a Nurse Practitioner in Blue Ridge, Texas. Qualified in 2023, 3 years ago. Licensed in Texas.
- Years since qualifying
- 3
- Licensed in
- TX
- In the registry since
- 2024
Practice location Address checks out
3133 Cordero CirBlue Ridge, TX 75424-4307
Phone: (903) 818-5614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1156959 (TX) |
|---|
Record details
| NPI number | 1679322531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 14, 2024 |
| Last updated in NPPES | May 14, 2024 |
| Certification date | May 14, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |