IndividualActive
Jessica Gonzalez
NPI 1740908771 · Physician Assistant · Kermit, TX
Provider details
- NPI number
- 1740908771
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
828 Myer Ln
Kermit, TX 79745-4634
Phone: (432) 586-2040
Approximate (ZIP-level) locationGet directions
Mailing address
132 Arapaho
Odessa, TX 79763-7853
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.