Provider Demographics
NPI:1568947604
Name:BUIE, JESSICA BETH (FNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:BETH
Last Name:BUIE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4260 WATERSTONE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4000
Mailing Address - Country:US
Mailing Address - Phone:903-681-0017
Mailing Address - Fax:
Practice Address - Street 1:4260 WATERSTONE ESTATES DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4000
Practice Address - Country:US
Practice Address - Phone:903-681-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138882207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine