JESSICA PACK APRN NPI 1982319067

NPI Information

  • NPI: 1982319067
  • Provider Name: JESSICA PACK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 616 S WASHINGTON ST
    BASTROP, LA
    ZIP 71220
  • Phone: (318) 283-3990

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NPI Details

Jessica Pack, APRN is a family nurse practitioner in Bastrop, LA with 4 years of experience. Jessica Pack, APRN NPI is 1982319067. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2022

The provider's business location address is:

616 S WASHINGTON ST
BASTROP, LA
ZIP 71220-035
Phone: (318) 283-3990
Fax: (318) 239-8990

The NPI 1982319067 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2023 and was last updated on 11/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily223217ARKANSASNo
2363LF0000XNurse PractitionerFamily235286LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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