Jessica Cervantes, LVN

Individual provider Active NPI Licensed Vocational Nurse · Bellville, TX

NPI 1922620293 · NPPES record last updated May 10, 2020

Key facts

NPI
1922620293
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
349258 (TX)
Practice address
315 N Baron St
Bellville, TX 77418-1306
Phone
(979) 270-2281
NPI assigned
May 10, 2020
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
349258TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 349258 TX Yes

Addresses

Primary practice location

315 N Baron St
Bellville, TX 77418-1306

Mailing address

315 N Baron St
Bellville, TX 77418-1306
Phone (979) 270-2281

Other providers in Bellville, TX

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

Sources for this page

Verify at the official NPI Registry.