Provider Demographics
NPI:1700118916
Name:HESSOCK, JENNIFER B (PNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:B
Last Name:HESSOCK
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 BRIGGS ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1206
Mailing Address - Country:US
Mailing Address - Phone:726-567-6571
Mailing Address - Fax:210-457-3405
Practice Address - Street 1:94 BRIGGS ST STE 400
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1206
Practice Address - Country:US
Practice Address - Phone:325-696-4750
Practice Address - Fax:325-696-5431
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9277768363LP0200X
TXAP138909363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics