Packard, Jessica Lane

Packard, Jessica Lane is an sole proprietor health care provider with primary practice located at 10111 Roseberry Dr , La Porte TX 77571-2914. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Packard, Jessica Lane can be contacted via phone (210) 660-9976.

Contact Information

Primary practice address
10111 Roseberry Dr La Porte TX 77571-2914
Phone: (210) 660-9976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1861122160
LBN Legal business name Packard, Jessica Lane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2022
Last updated Jun 28th, 2022 - about 4 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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