Jessica L Delgado Araiza

Individual provider Active NPI Licensed Vocational Nurse · Moody, TX

NPI 1467095281 · NPPES record last updated Oct 24, 2019

Key facts

NPI
1467095281
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
348708 (TX)
Practice address
10457 Community Center Rd
Moody, TX 76557-3798
Phone
(254) 231-8394
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
348708TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 348708 TX Yes

Addresses

Primary practice location

10457 Community Center Rd
Moody, TX 76557-3798

Mailing address

10457 Community Center Rd
Moody, TX 76557-3798

Other providers in Moody, TX

All providers in Moody, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.