person
Dr. Jessica Ann Deitrick, DO,BS
Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia
NPI 1588166490

Jessica Ann Deitrick is a Student in an Organized Health Care Education/Training Program based in Bel Air, VA. Jessica Ann Deitrick practices in Portsmouth, VA and has the professional credentials of DO,BS. The NPI Number for Jessica Ann Deitrick is 1588166490 and holds a License No. (Virginia).

The current practice location address for Jessica Ann Deitrick is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-2339.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 21014-2501
person
Provider Profile Details
NPI Number
1588166490
Provider Name
Jessica Ann Deitrick
Credential
DO,BS
Provider Entity Type
Individual
Gender
Female
Address
620 John Paul Jones Cir, Portsmouth, VA, 21014-2501
Phone Number
757-953-2339
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-2339
Fax Number
person
Provider Business Mailing Address Details
Address
620 John Paul Jones Cir
City
State
Zip
23708-2111
Phone Number
757-953-2339
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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