# JESSA SOPHIE BIDWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457082984
- **Gender:** F
- **Credential:** MS, CGC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170300000X | Genetic Counselor (M.S.) | 1373-61 | WI | — |
| 170300000X | Genetic Counselor (M.S.) | 1544 | MN | Yes |
| 170300000X | Genetic Counselor (M.S.) | GC689 | FL | — |

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 11/27/2023