NPI 1093296113
Jessica Christina Mack, LVN
Practice location
- Address
- 8610 N New Braunfels Ave STE 405, San Antonio, TX 78217-6358
- Phone
- (210) 804-0193
- Fax
- (210) 610-8782
- Mailing address
- PO Box 43, La Coste, TX 78039-0043
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1093296113
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Aug 2018
- Record last updated
- 27 Aug 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.