Provider Demographics
NPI:1417679721
Name:ROSSOW, JESSA M (NP)
Entity Type:Individual
Prefix:MS
First Name:JESSA
Middle Name:M
Last Name:ROSSOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2070
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1524
Mailing Address - Country:US
Mailing Address - Phone:713-486-8000
Mailing Address - Fax:713-795-8115
Practice Address - Street 1:6400 FANNIN ST, STE 2800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-486-8000
Practice Address - Fax:713-795-8115
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX821483207RC0200X
TX1101063363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine