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JESSICA FERN CNP
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1700325313
Individual Registrant: JESSICA FERN CNP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
56 PUTTER WAY CAMDEN WYOMING, DE 19934-4007 US
Tel: 302-270-6471 Fax: --
Tel: 302-270-6471 Fax: --
Contact information for business:
56 PUTTER WAY CAMDEN WYOMING, DE 19934-4007 US
Tel: 302-270-6471 Fax: --
Tel: 302-270-6471 Fax: --
Registration Information:
NPI: 1700325313
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | OH | 020526 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
