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Dr. Jessica Fordyce, OD
Student in an Organized Health Care Education/Training Program in Vienna, West Virginia
NPI 1689363459

Jessica Fordyce is a Student in an Organized Health Care Education/Training Program based in Parkersburg, WV. Jessica Fordyce practices in Vienna, WV and has the professional credentials of OD. The NPI Number for Jessica Fordyce is 1689363459 and holds a License No. (West Virginia).

The current practice location address for Jessica Fordyce is 1600 Grand Central Ave, Vienna, WV and can be reached out via phone at 304-295-8561.

Location: 1600 Grand Central Ave, Vienna, WV, 26104-8570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689363459
Provider Name
Jessica Fordyce
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1600 Grand Central Ave, Vienna, WV, 26104-8570
Phone Number
304-295-8561
Fax Number
Provider Enumeration Date
05/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 Grand Central Ave
City
Vienna
State
West Virginia
Zip
26105-1059
Phone Number
304-295-8561
Fax Number
person
Provider Business Mailing Address Details
Address
1600 Grand Central Ave
City
Vienna
State
West Virginia
Zip
26105-1059
Phone Number
304-295-8561
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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