Individual provider · Type 1 NPI

Mary Jessica Fiesta, ANP-BC

Adult Health Nurse Practitioner · Dallas, TX

NPI number 1992043517 Active

Practice location

6301 Gaston Ave, Suite 100 West Tower
Dallas, TX 75214-3922

Fax (214) 821-4017

Mailing address

906 W Cannon St, Ste A
Fort Worth, TX 76104-3031

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X721121 (TX)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1992043517

Mary Jessica Fiesta, ANP-BC's National Provider Identifier is 1992043517, issued on Jan 17, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dallas, TX. The record was last updated on Mar 20, 2020.