Provider Demographics
NPI:1942066717
Name:WHITE STONE MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:WHITE STONE MEDICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACKLYNN
Authorized Official - Middle Name:MONIQUE
Authorized Official - Last Name:OCHOA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, FNP-BC
Authorized Official - Phone:956-821-7048
Mailing Address - Street 1:11900 N SHARY RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-7998
Mailing Address - Country:US
Mailing Address - Phone:956-821-7048
Mailing Address - Fax:
Practice Address - Street 1:11900 N SHARY RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-7998
Practice Address - Country:US
Practice Address - Phone:956-821-7048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty