Jayla Michelle Ward | Tyler, TX • PECOS Search

Jayla Michelle Ward

Licensed Vocational Nurse

Nursing Service Providers

2815 Pollard Dr, Tyler, TX 75701-7112

PECOS Enrollment

Based on the most recent information from CMS, provider Jayla Michelle Ward does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891303715
Provider Type
Individual
Full Name
Ward, Jayla Michelle
Credential
LVN

Gender
Female
Sole Proprietor
No
Enumeration Date
7/16/2020
Last Updated
7/16/2020

Contact Information

Practice Location

2815 Pollard Dr, Tyler, TX 75701-7112

Unlisted Fax

Mailing Location

2815 Pollard Dr, Tyler, TX 75701-7112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164X00000X Primary	Description Licensed Vocational Nurse Nursing Service Providers	License 351848 Texas