Jessica A Black, PA-C
Physician Assistant in Beaumont, TX. Individual provider (NPI-1).
NPI number1699178582
StatusActive
Last updated in NPPESMay 24, 2024
Details
- NPI
- 1699178582
- Entity type
- Individual (NPI-1)
- Name
- Jessica A Black
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2014
- Certification date
- May 24, 2024
- Last updated
- May 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA17549 | TX | Yes |
Practice location
450 N 11th StBeaumont, TX 77702-1804
Phone 832-548-5000
Mailing address
Po Box 66308Houston, TX 77266-6308
Phone 832-548-5000
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All 29 Physician Assistant providers in Beaumont · All 3,483 providers in Beaumont
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