Individual
COURTNEY JESSICA TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
2434 HICKORY ST, ABILENE, TX 79698-0001
(325) 660-2774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
65659
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/10/2024
Last updated
01/28/2025
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