Individual provider · Type 1 NPI

Jessica Lynne Childress, APRN, FNP

Family Nurse Practitioner · Tyler, TX

NPI number 1891493250 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Fax (888) 242-8720

Mailing address

PO Box 163
Troup, TX 75789-0163

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1110867 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1891493250

Jessica Lynne Childress, APRN, FNP's National Provider Identifier is 1891493250, issued on Feb 15, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Aug 14, 2026.