Individual provider Active NPI

Jesline Sara Jestine, APRN; FNP-C

  • Family Nurse Practitioner
  • Forney, TX
National Provider Identifier
1801600465
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1000413 Issued in TX
Practice address
763 E US Highway 80 Ste 230
Forney, TX 75126-8682
Phone
(945) 316-9356
NPI assigned
Feb 4, 2025
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 37913 TN
Family Nurse Practitioner 363LF0000X 1000413 TX Primary

Addresses

Primary practice location

763 E US Highway 80 Ste 230
Forney, TX 75126-8682

Mailing address

304 Administration Dr
Denton, TX 76209-2098

Other practice location 1

304 Administration Dr
Denton, TX 76209-2098
Phone (940) 898-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250317001611 TN Practitioner - Nurse Practitioner 5597287813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Pain Clinics IncGroup PAC ID 4183538887, 8 clinicians

Practice addresses (Care Compare)

8132 Cordova Rd
Cordova, TN 38016-6005
Phone (901) 405-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37913TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Pain Clinics, Inc CurrentSince Jan 1, 2025 Accepting new patients
Spectrum Pain Clinics Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

230 E James M Campbell Blvd
Ste 102
Columbia, TN 38401
Phone (931) 840-9588

8132 Cordova Rd
Cordova, TN 38016
Phone (901) 367-0811

15 Stonebridge Blvd
Jackson, TN 38305
Phone (731) 265-6946

23 Sandstone Cir
Jackson, TN 38305
Phone (731) 265-6946

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1801600465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 ADMINISTRATION DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762092098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 E US HIGHWAY 80 STE 230",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268682",
            "telephone_number": "945-316-9356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Administration Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762092098",
            "country_code": "US",
            "telephone_number": "940-898-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESTINE",
        "first_name": "JESLINE",
        "middle_name": "SARA",
        "credential": "APRN; FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1000413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.