Individual
JESSICA PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
616 S WASHINGTON ST, BASTROP, LA 71220-5035
(318) 283-3990
(318) 239-8990
Mailing address
705 ASHLEY ROAD 293, CROSSETT, AR 71635-8619
(870) 500-4982
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
223217
AR
363LF0000X
Family Nurse Practitioner
Primary
235286
LA
Other
Enumeration date
01/23/2023
Last updated
11/10/2025
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