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Jessica C Malca-pastakia
Family Nurse Practitioner in Atlanta, Texas
NPI 1518685957

Jessica C Malca-pastakia is a Family Nurse Practitioner based in Marshall, TX and is specialized in Family. Jessica C Malca-pastakia practices in Atlanta, TX. The NPI Number for Jessica C Malca-pastakia is 1518685957 and holds a License No. 1105167 (Texas).

The current practice location address for Jessica C Malca-pastakia is 1011 S William St, Atlanta, TX and can be reached out via phone at 903-796-2868 and via fax at 903-796-0826.

Location: 1011 S William St, Atlanta, TX, 75671-1326
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518685957
Provider Name
Jessica C Malca-pastakia
Credential
Provider Entity Type
Individual
Gender
Female
Address
1011 S William St, Atlanta, TX, 75671-1326
Phone Number
903-796-2868
Fax Number
903-796-0826
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1105167 01 TX TEAS LICENSE
institution
Provider Business Practice Location Address Details
Address
1011 S William St
City
Atlanta
State
Texas
Zip
75551-3245
Phone Number
903-796-2868
Fax Number
903-796-0826
person
Provider Business Mailing Address Details
Address
1011 S William St
City
Atlanta
State
Texas
Zip
75551-3245
Phone Number
903-796-2868
Fax Number
903-796-0826
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1105167 (Texas)
Definition
Definition to come...
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