Provider Demographics
NPI:1962837005
Name:LEIGHTON, JESSICA MARIA (RN, BSN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARIA
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:RN, BSN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 BROOKLYN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1637
Mailing Address - Country:US
Mailing Address - Phone:210-579-3537
Mailing Address - Fax:210-640-1635
Practice Address - Street 1:926 BROOKLYN AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215
Practice Address - Country:US
Practice Address - Phone:210-579-3537
Practice Address - Fax:210-640-1635
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124063363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner