Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Edwards

Individual provider Family Medicine Physician · NPI 1588141782

Jessica Edwards is a Nurse Practitioner in Longview, Texas. Qualified in 2018, 8 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

1402 N 4th St
Longview, TX 75601-4774
Phone: (903) 757-8878
Fax: (903) 757-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8232 Preston Rd., Plano, TX 75024 — (469) 786-5874

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AP138049 (TX)

Record details

NPI number1588141782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2018
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longview