Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Jessica Fiesta, ANP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1992043517

Mary Jessica Fiesta, ANP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2012, 14 years ago. Practices with Clinical Care in Radiology, a 16-clinician group and offers telehealth. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2013
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Practice location Address checks out

6301 Gaston Ave Ste 100 West Tower
Dallas, TX 75214-3922
Phone: (214) 827-3610
Fax: (214) 821-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 721121 (TX)

Record details

NPI number1992043517
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedJanuary 17, 2013
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Clinical Care In Radiology — 16 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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