Individual
JESSICA PENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17183 INTERSTATE 45 S STE 390, SHENANDOAH, TX 77385-3313
(936) 270-3680
Mailing address
17183 INTERSTATE 45 S STE 390, SHENANDOAH, TX 77385-3313
(936) 270-3680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17528
TX
Other
Enumeration date
10/11/2023
Last updated
10/07/2025
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