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NPI Code Detail

MEDICARE: JESSICA LEIGH WESTBROOK PA

MEDICARE: JESSICA LEIGH WESTBROOK PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA-649AR

General Provider Information

NPI Number : 1013375815
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEIGH WESTBROOK PA
Provider Business Mailing Address
First Line : 7 SHACKLEFORD WEST BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3886
Country : US
Telephone Number : 501-664-5860
Fax Number : 501-664-0889
Provider Business Practice Location Address
First Line : 7 SHACKLEFORD WEST BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3886
Country : US
Telephone Number : 501-664-5860
Fax Number : 501-664-0889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2016
Last Update Date : 01/19/2026

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Directions to “ JESSICA LEIGH WESTBROOK PA” Practice Location

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