Jessica Corporon, is a
Nurse Practitioner - Family based in Blue Ridge, Texas. Jessica Corporon is licensed to practice in Texas (license number 1156959) and her current practice location is
3133 Cordero Cir, Blue Ridge, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 818-5614.
NPI number for Jessica Corporon is 1679322531 and her current mailing address is 3133 Cordero Cir, Blue Ridge, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679322531.
Provider's Profile
| Full Name | Jessica Corporon |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3133 Cordero Cir, Blue Ridge, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679322531
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 05/14/2024
Medical Identifiers
Medical identifiers for Jessica Corporon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679322531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 1156959 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Corporon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Corporon,
3133 Cordero Cir,
Blue Ridge, TX 75424-4307
Ph: (903) 818-5614 | Jessica Corporon,
3133 Cordero Cir,
Blue Ridge, TX 75424-4307
Ph: (903) 818-5614 |
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