Mackert, Jessica Lee

Mackert, Jessica Lee is an individual health care provider with primary practice located at 15803 Windermere Dr Suite 103, Pflugerville TX 78660-2402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mackert, Jessica Lee can be contacted via phone (512) 989-2680.

Contact Information

Primary practice address
15803 Windermere Dr Suite 103 Pflugerville TX 78660-2402
Phone: (512) 989-2680
Fax: (512) 406-7339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 735503 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP122124 Texas

Profile Details

NPI number 1093062515
LBN Legal business name Mackert, Jessica Lee
Credentials RN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2012
Last updated Apr 7th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093062515 NPPES
Texas MEDICAID 339037902
Texas MEDICAID 339037903

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