MISS JESSICA LANE PACKARD
NPI 1861122160
Physician Assistant - Surgical in La Porte, TX

Q: What is Jessica Packard's NPI number?

The NPI number for Jessica Packard is 1861122160. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Q: What is Jessica Packard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Packard was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2022

10111 ROSEBERRY DR, LA PORTE, TX 77571(210) 660-9976 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Miss Jessica Lane Packard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JESSICA LANE PACKARD (NPI 1861122160) is an individual surgical provider in La Porte, Texas and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1861122160

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMISS JESSICA LANE PACKARD

Location Address10111 ROSEBERRY DRLa Porte, TX 77571-2914

Mailing Address10111 Roseberry DrLa Porte, TX 77571-2914 · (210) 660-9976

Phone(210) 660-9976

Sole ProprietorYes

Enumeration DateJune 10, 2022

Last NPPES UpdateJune 28, 2022

NPPES CertifiedJune 28, 2022

✔ NPI 1861122160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X

10111 ROSEBERRY DR, La Porte, TX 77571

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURGICAL FIRST ASSISTING, LLC

Physician Assistant (Surgical)

10111 ROSEBERRY DR
LA PORTE, TX 77571

Harris County (210) 660-9976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Packard's NPI number?

The NPI number for Jessica Packard is 1861122160. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Where is Jessica Packard located?

Jessica Packard practices at 10111 Roseberry Dr, La Porte, TX 77571. The listed phone number is (210) 660-9976.

What is Jessica Packard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jessica Packard was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.