Individual
MRS. JESSICA NICOLE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 PINECROFT DR STE 350, SHENANDOAH, TX 77380-3280
(346) 320-5200
(346) 320-5215
Mailing address
9200 PINECROFT DR STE 350, SHENANDOAH, TX 77380-3280
(346) 320-5200
(346) 320-5215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10248
TX
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8329NT
BCBS - USA
TX
01
—
8330NT
BCBS - USP
TX
01
—
PA10248
PA LICENCE
TX
Enumeration date
10/29/2015
Last updated
09/16/2024
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