Provider Demographics
NPI:1417990599
Name:COX, JESSICA M (ARNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:COX
Suffix:
Gender:F
Credentials:ARNP
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Other - Credentials:
Mailing Address - Street 1:1500 CONCORD TER
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2815
Mailing Address - Country:US
Mailing Address - Phone:800-243-3839
Mailing Address - Fax:954-851-1839
Practice Address - Street 1:3001 E. GEORGE BUSH TURNPIKE
Practice Address - Street 2:SUITE 250
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082
Practice Address - Country:US
Practice Address - Phone:214-343-6662
Practice Address - Fax:214-343-2814
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2015-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP114352363LN0000X
TX640571363LP0200X
FLARNP9334141363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179498402Medicaid
TX8Y0258OtherBLUE CROSS BLUE SHIELD
TX179498402Medicaid