Individual
MS. JESSICA ANN LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4495 WANDERING VINE TRL, ROUND ROCK, TX 78665-1266
(806) 517-8527
Mailing address
3101 SW 58TH AVE APT 6106, AMARILLO, TX 79118-1424
(806) 517-8527
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP135564
TX
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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