Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JESSICA LANE PACKARD
Active Sole ProprietorMISS JESSICA LANE PACKARD is a Surgical Physician Assistant healthcare provider located in LA PORTE, Texas. NPI 1861122160 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LA PORTE, TX
Registration Details
- NPI Number
- 1861122160
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2022 (4.2223138961828 yrs)
- Last Updated
- Jun 28, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
10111 ROSEBERRY DRLA PORTE, TX, 775712914Browse TX providers · Browse ZIP 77571
- Phone
- 2106609976
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in LA PORTE, TX
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA A BOWLES | LSA | 1417042904 |
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.