Provider Demographics
NPI:1265158034
Name:LEVEY, JESSICA (AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:LEVEY
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4751 HAMILTON WOLFE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3458
Mailing Address - Country:US
Mailing Address - Phone:210-233-7126
Mailing Address - Fax:
Practice Address - Street 1:4751 HAMILTON WOLFE RD STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3458
Practice Address - Country:US
Practice Address - Phone:210-233-7126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1096796363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health