Provider Demographics
NPI:1467937557
Name:GARCIA, JESSICA RUBIT (LVN)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:RUBIT
Last Name:GARCIA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:75686-1013
Mailing Address - Country:US
Mailing Address - Phone:903-204-9906
Mailing Address - Fax:
Practice Address - Street 1:311 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:TX
Practice Address - Zip Code:75686-1013
Practice Address - Country:US
Practice Address - Phone:903-204-9906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX344999164X00000X
TX34499164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse