Black, Jessica A

Black, Jessica A is an individual health care provider with primary practice located at 450 N 11Th St , Beaumont TX 77702-1804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Black, Jessica A can be contacted via phone (832) 548-5000.

Contact Information

Primary practice address
450 N 11Th St Beaumont TX 77702-1804
Phone: (832) 548-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17549 Texas

Profile Details

NPI number 1699178582
LBN Legal business name Black, Jessica A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2014
Last updated May 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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