Provider Demographics
NPI:1134737455
Name:HAMILTON, JESSICA KATE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:KATE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:KATE
Other - Last Name:CAWTHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:10001 S INTERSTATE 35 STE 320
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-1705
Mailing Address - Country:US
Mailing Address - Phone:512-229-1532
Mailing Address - Fax:
Practice Address - Street 1:10001 S INTERSTATE 35 STE 320
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-1705
Practice Address - Country:US
Practice Address - Phone:512-229-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX907797163W00000X
TX1033245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse