Provider Demographics
NPI:1437637196
Name:HESTER, TABITHA JAYMES
Entity Type:Individual
Prefix:
First Name:TABITHA
Middle Name:JAYMES
Last Name:HESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 COLLIN MCKINNEY PKWY APT 4109
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5290
Mailing Address - Country:US
Mailing Address - Phone:903-818-1190
Mailing Address - Fax:
Practice Address - Street 1:5201 COLLIN MCKINNEY PKWY APT 4109
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5290
Practice Address - Country:US
Practice Address - Phone:903-818-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX950344163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse