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Individual
MRS. JESSICA BROOKE METZGER
Active
Individual
MRS. JESSICA BROOKE METZGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001710A
IN
363A00000X
Physician Assistant
99062936A
IN
363A00000X
Physician Assistant
Primary
PA2095
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162019
—
OH
05
—
7100408710
—
KY
01
—
99062936A
LICENSE
IN
01
—
P01636966
RAILROAD MEDICARE
KY
Enumeration date
07/23/2014
Last updated
08/18/2026
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