Individual
MRS. JAMILA LEE PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
TRAINEE HEALTH CLINIC, 1940 CARSWELL AVE BLDG. 7002, JBSA LACKLAND,, TX 78236
(210) 471-9056
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
1043226
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
01/13/2026
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