Jessica Brie Shultz, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

772556 Issued in TX

Practice address

2401 S. 31St Street
Scott & White Memorial Hospital Orthopedics Dept.
Temple, TX 76508

Phone

(254) 724-6262

Fax

(254) 724-7791

NPI assigned

Sep 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Jessica Brie Van Byssum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487987574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S. 31ST STREET",
            "address_2": "SCOTT & WHITE MEMORIAL HOSPITAL ORTHOPEDICS DEPT.",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76508",
            "telephone_number": "254-724-6262",
            "fax_number": "254-724-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "JESSICA",
        "middle_name": "BRIE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "772556",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "772556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VAN BYSSUM",
            "middle_name": "BRIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ilaina S. Shook, D.O.
• Samrat Shrestha, PHARMD
• Sushmita Duwal Shrestha, M.B.B.S
• Megan Marie Shuck, APRN, FNP-C
• Bobby L. Shull, M.D.
• Ashir Shumunov, PHARMD
• Talon Shumway
• Valerie N Shurley, MS, RD
• Michael Lok-Shun Si, DC
• Stephen J. Sibbitt, M.D.

• Pediatric Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.