Miss. Jessica Lane Packard
Miss. Jessica Lane Packard is a Surgical Assistant in LA Porte, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10111 Roseberry DrLA Porte, TX 77571-2914
Phone: (210) 660-9976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X |
Record details
| NPI number | 1861122160 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2022 |
| Last updated in NPPES | June 28, 2022 |
| Certification date | June 28, 2022 |