| Jesse Lauren Pack, FNP-C | |
|
2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 | |
| (281) 440-5300 | |
| Not Available |
| Full Name | Jesse Lauren Pack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2255 E Mossy Oaks Rd Ste 500, Spring, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255098075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 955950 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1139965 (Texas) | Primary |
| Entity Name | David P Ellent Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245777440 PECOS PAC ID: 7012290885 Enrollment ID: O20170202000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Lauren Pack, FNP-C 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 Ph: (281) 440-5300 | Jesse Lauren Pack, FNP-C 2255 E Mossy Oaks Rd Ste 500, Spring, TX 77389-1813 Ph: (281) 440-5300 |
Ms. Lea Ann Jackson, F.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3307 Spring Stuebner Ste. A1, Spring, TX 77389 Phone: 281-528-2273 Fax: 281-528-6283 | |
Paulette Senegal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5529 Louetta Rd Ste A7, Spring, TX 77379 Phone: 346-296-0520 | |
Amanda Lyn Gray, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4057 Riley Fuzzel Rd Ste 700, Spring, TX 77386 Phone: 832-707-0407 | |
Deidra D Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Louetta Crossing, Spring, TX 77373 Phone: 281-528-0278 Fax: 281-528-2975 | |
Priscilla Boahemaa, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20511 Spring Mission Ln, Spring, TX 77388 Phone: 832-628-1200 | |
Imelda Bravo Cristal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Skipwith Pl, Spring, TX 77382 Phone: 951-315-0010 | |
Kimbria Nicole Burton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8707 Spring Cypress Rd Ste E, Spring, TX 77379 Phone: 832-562-3390 Fax: 832-562-3391 |