Individual provider · Type 1 NPI

Jessica Denise Modisette, APRN

Acute Care Nurse Practitioner · Longview, TX

NPI number 1386393213 Active

Practice location

707 E Marshall Ave
Longview, TX 75601-5545

Other practice locations

  • 700 E Marshall Ave, Longview, TX 75601-5580 · (903) 315-2071

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X833036 (TX)
Nurse Practitioner 363L00000X1073260 (TX)
Acute Care Nurse Practitioner Primary 363LA2100X1073260 (TX)

Acute Care Nurse Practitioner: Definition to come...

10 other providers at this address

Other acute care nurse practitioner providers in Longview

See all in Longview →

About NPI 1386393213

Jessica Denise Modisette, APRN's National Provider Identifier is 1386393213, issued on Mar 18, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Longview, TX. The record was last updated on May 5, 2022.