JELISSA NICOLE NPI 1639769862

NPI Information

JELISSA NICOLE is a prosthetic orthotic supplier in Dallas, TX. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. JELISSA NICOLE NPI is 1639769862. The provider is registered as an organization entity type.

The provider's business location address is:

18880 MARSH LN APT 1902
DALLAS, TX
ZIP 75287-241
Phone: (214) 497-8580

The provider's authorized official is Jelissa Bates .
The authorized official title is Owner and has the following contact phone number (214) 497-8580.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.