Provider Demographics
NPI:1912631375
Name:JESSICA A HOUSER PLLC
Entity Type:Organization
Organization Name:JESSICA A HOUSER PLLC
Other - Org Name:HOUSER FAMILY MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:870-289-0001
Mailing Address - Street 1:PO BOX 296
Mailing Address - Street 2:
Mailing Address - City:LOCKESBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71846-0296
Mailing Address - Country:US
Mailing Address - Phone:870-289-0001
Mailing Address - Fax:
Practice Address - Street 1:101 W MAIN
Practice Address - Street 2:
Practice Address - City:LOCKESBURG
Practice Address - State:AR
Practice Address - Zip Code:71846-9621
Practice Address - Country:US
Practice Address - Phone:870-289-0001
Practice Address - Fax:870-289-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty