JELISSA NICOLE
NPI 1639769862
Prosthetic/Orthotic Supplier in Dallas, TX

Q: What is Jelissa Nicole's NPI number?

The NPI number for Jelissa Nicole is 1639769862. It was assigned to this organization in the NPPES registry on January 21, 2021.

Q: What is Jelissa Nicole's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Q: When was this NPI record last updated?

The NPPES record for Jelissa Nicole was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 21, 2021

18880 MARSH LN APT 1902, DALLAS, TX 75287(214) 497-8580 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jelissa Nicole NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JELISSA NICOLE (NPI 1639769862) is a healthcare organization registered as a prosthetic/orthotic supplier in Dallas, Texas and active in the NPI registry since January 2021. The organization lists Jelissa Bates, Owner, as its authorized official.

NPPES Registry Identity

NPI1639769862

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameJELISSA NICOLE

Location Address18880 MARSH LN APT 1902Dallas, TX 75287-2241

Mailing Address18880 Marsh Ln Apt 1902Dallas, TX 75287-2241 · (214) 497-8580

Phone(214) 497-8580

Organization SubpartNo

Authorized OfficialJelissa BatesOwner · (214) 497-8580

Enumeration DateJanuary 21, 2021

NPPES CertifiedJanuary 21, 2021

✔ NPI 1639769862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

Definition

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.

18880 MARSH LN APT 1902, Dallas, TX 75287

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jelissa Nicole's NPI number?

The NPI number for Jelissa Nicole is 1639769862. It was assigned to this organization in the NPPES registry on January 21, 2021.

Where is Jelissa Nicole located?

Jelissa Nicole is located at 18880 Marsh Ln Apt 1902, Dallas, TX 75287. The listed phone number is (214) 497-8580.

What is Jelissa Nicole's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Jelissa Nicole was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.