Petterson, Jamila Lee
Petterson, Jamila Lee is an individual health care provider with primary practice located at Trainee Health Clinic 1940 Carswell Ave Bldg. 7002, Jbsa Lackland, TX 78236. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Petterson, Jamila Lee can be contacted via phone (210) 471-9056.Contact Information
Primary practice address
Trainee Health Clinic 1940 Carswell Ave Bldg. 7002
Jbsa Lackland, TX 78236
Phone: (210) 471-9056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1043226 |
Profile Details
| NPI number | 1205982337 |
|---|---|
| LBN Legal business name | Petterson, Jamila Lee |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Sep 5th, 2023 - about last year |
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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