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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093062515 | NPPES |
Texas | MEDICAID | 339037902 | |
Texas | MEDICAID | 339037903 |
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