Provider Demographics
NPI:1851996946
Name:ALVARADO, JESSICA LORENA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:LORENA
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 S FM 1626
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-9432
Mailing Address - Country:US
Mailing Address - Phone:512-295-2437
Mailing Address - Fax:
Practice Address - Street 1:220 S FM 1626
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-9432
Practice Address - Country:US
Practice Address - Phone:512-295-2437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-04
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF11200791363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily