Provider Demographics
NPI:1538985577
Name:ESSILFIE, JENNIFER A (DNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:ESSILFIE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 N BELT LINE RD STE C
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1792
Mailing Address - Country:US
Mailing Address - Phone:817-689-2934
Mailing Address - Fax:
Practice Address - Street 1:1611 N BELT LINE RD STE 203
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1793
Practice Address - Country:US
Practice Address - Phone:817-689-2934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1180359363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily