Provider Demographics
NPI:1275406340
Name:RANSOM, JESSICA JANE
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:JANE
Last Name:RANSOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31200 FM 2929
Mailing Address - Street 2:APT 735
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484
Mailing Address - Country:US
Mailing Address - Phone:979-402-5136
Mailing Address - Fax:
Practice Address - Street 1:12110 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-3254
Practice Address - Country:US
Practice Address - Phone:281-894-1423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-400553106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty