Search › Texas › 363A00000X
Jacquelynn Anderson, PA
NPI 1912626227 · on the registry since 2022 · sole proprietor
Practice
- Address
- 904 Ford St
Llano, TX 78643 - Phone
- (830) 953-1700
- Fax
- (830) 953-1717
- Organisation at this address
- Clear Creek Dermatology
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 3600 N Garfield St, Midland, TX
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas