Provider Demographics
NPI:1689926065
Name:BHATTI, JESSICA NATALIE (RN, MSN, ACNS-BC)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:NATALIE
Last Name:BHATTI
Suffix:
Gender:F
Credentials:RN, MSN, ACNS-BC
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Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:2410 ROUND ROCK AVE STE 150
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4019
Practice Address - Country:US
Practice Address - Phone:512-341-8724
Practice Address - Fax:512-341-9440
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2013-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX756874364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX310773201Medicaid
TX262757YKYCMedicare PIN