Most Relevant Information
Provider Data
| NPI Number: | 1003409723 |
| Provider Name: | JESSICA D ANN SISNEROS |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 1030132 |
Most Important Dates
| Enumeration Date: | 02/12/2021 |
| Last Updated: | 03/10/2023 |
Provider Practice Location
3506 21ST ST STE 507
LUBBOCK
TX
794101233
Practice Location Phone/Fax
| Phone: | 8067254805 |
| Fax: | 8067234815 |
Provider Mailing Location
2215 NASHVILLE AVE
LUBBOCK
TX
794101105
Provider Mailing Phone/Fax
| Phone: | 8067255844 |
| Fax: | 8067236532 |