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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JAMILA LEE PETTERSON, PAC

Active Sole Proprietor

MRS. JAMILA LEE PETTERSON, PAC is a Physician Assistant healthcare provider located in JBSA LACKLAND,, Texas. NPI 1205982337 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JBSA LACKLAND,, TX

Registration Details

NPI Number
1205982337
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2007 (19.536119032834 yrs)
Last Updated
Jan 13, 2026
Sole Proprietor
Yes

Practice Information

Address
TRAINEE HEALTH CLINIC
1940 CARSWELL AVE BLDG. 7002
JBSA LACKLAND,, TX, 78236
Browse TX providers · Browse ZIP 78236
Phone
2104719056
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.