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Jessica K Meredith, PA-C
Medical Physician Assistant in Wildomar, California
NPI 1730445891

Jessica K Meredith is a Medical Physician Assistant based in Wildomar, CA and is specialized in Medical. Jessica K Meredith practices in Wildomar, CA and has the professional credentials of PA-C. The NPI Number for Jessica K Meredith is 1730445891 and holds a License No. 5132 (California).

The current practice location address for Jessica K Meredith is 36491 Yamas Dr, Wildomar, CA and can be reached out via phone at 716-912-8469.

Location: 36491 Yamas Dr, Wildomar, CA, 92595-9809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730445891
Provider Name
Jessica K Meredith
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
36491 Yamas Dr, Wildomar, CA, 92595-9809
Phone Number
716-912-8469
Fax Number
Provider Enumeration Date
04/03/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
699579 05 AZ
institution
Provider Business Practice Location Address Details
Address
36491 Yamas Dr
City
Wildomar
State
California
Zip
92595-9809
Phone Number
716-912-8469
Fax Number
person
Provider Business Mailing Address Details
Address
36491 Yamas Dr
City
Wildomar
State
California
Zip
92595-9809
Phone Number
716-912-8469
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5132 (Arizona)
Definition
Definition to come...
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