Individual
MRS. JESSICA GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
113 TIFFANY ST, LONGVIEW, TX 75605-6175
(903) 931-1520
Mailing address
113 TIFFANY ST, LONGVIEW, TX 75605-6175
(903) 931-1520
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
769362
TX
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/30/2014
Last updated
10/05/2024
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