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JESSICA FERN CNP

Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1700325313

Individual Registrant:
 JESSICA  FERN CNP
Gender: F
Sole Proprietor

Location and contact information for practice:
56 PUTTER WAY  CAMDEN WYOMING, DE 19934-4007 US
Tel: 302-270-6471  Fax: --

Contact information for business:
56 PUTTER WAY  CAMDEN WYOMING, DE 19934-4007 US
Tel: 302-270-6471  Fax: --

Registration Information:
NPI: 1700325313
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Acute Care
OH020526

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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