| Doctor Name: | JESSICA LEIGH CROSS |
| NPI Number: | 1326344854 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 712751 |
| Business Practice Address: | 421 East Main Street Red River, NM - 87558 |
| Business Phone Number: | 5757546330 |
| Business Fax Number: | 5757546232 |
| Mailing Address: | Po Box 10, 421 East Main Street RED RIVER |
| State: | NM |
| Postal Code: | 87558 |
| Phone Number: | 5757546330 |
| Fax Number: | 5757546232 |
| NPI Enumeration Date: | 01/31/2011 |
| NPI Last Update Date: | 12/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 712751 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |