Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LOUISE LICEA
ActiveJESSICA LOUISE LICEA is a Physician Assistant healthcare provider located in HEWITT, Texas. NPI 1508623273 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · HEWITT, TX
Registration Details
- NPI Number
- 1508623273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 29, 2024 (2.4232772303442 yrs)
- Last Updated
- Oct 23, 2024
- License
-
PA18063 (TX)
Practice Information
- Address
-
510 N HEWITT DRHEWITT, TX, 766433038Browse TX providers · Browse ZIP 76643
- Phone
- 2544205000
- Fax
- 2544205007
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in HEWITT, TX
| Name | Credential | NPI |
|---|---|---|
| JESSICA CARRIER | P.A. | 1639416761 |
| MICAH D ADAMS | PA-C | 1710369509 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.