Jessica Suzahne Leist, PA-C
Physician Assistant in Lubbock, TX. Individual provider (NPI-1).
NPI number1174778286
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1174778286
- Entity type
- Individual (NPI-1)
- Name
- Jessica Suzahne Leist
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2008
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA06925 | TX | Yes |
| 363A00000X | Physician Assistant | 085.003344 | IL |
Practice location
3601 4th StLubbock, TX 79430-3396
Phone 806-743-2373
Mailing address
3601 4th St # Ms 8312Lubbock, TX 79430-0002
Phone 806-743-1501
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All 115 Physician Assistant providers in Lubbock · All 7,272 providers in Lubbock
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