Provider Demographics
NPI:1528712890
Name:JAROS, JESSICA MICHELLE (RCP, RRT-NPS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MICHELLE
Last Name:JAROS
Suffix:
Gender:F
Credentials:RCP, RRT-NPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33300 EGYPT LN STE I300
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3337
Mailing Address - Country:US
Mailing Address - Phone:832-381-8221
Mailing Address - Fax:833-390-1324
Practice Address - Street 1:33300 EGYPT LN STE I300
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3337
Practice Address - Country:US
Practice Address - Phone:832-381-8221
Practice Address - Fax:833-390-1324
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRCP00076209227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty