Womack, Jessica Diane

Womack, Jessica Diane is an individual health care provider with primary practice located at 1900 Mistletoe Blvd Ste 200 , Fort Worth TX 76104-4049. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Womack, Jessica Diane can be contacted via phone (817) 878-5333.

Contact Information

Primary practice address
1900 Mistletoe Blvd Ste 200 Fort Worth TX 76104-4049
Phone: (817) 878-5333
Fax: (817) 878-5334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110003149 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA18577 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003149 Virginia

Profile Details

NPI number 1700110582
LBN Legal business name Womack, Jessica Diane
Credentials MPA, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2009
Last updated Aug 11th, 2026 - about 2 months 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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