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Organization
LUX TELEPSYCH PLC
Active
Organization
LUX TELEPSYCH PLC
Active
Other names
Jessica Jawidzik
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA JAWIDZIK DNP (SOLE OWNER)
(802) 266-4465
Entity
Organization
Contact information
Practice address
4185 ST GEORGE RD, WILLISTON, VT 05495-7695
(802) 266-4465
(802) 531-3226
Mailing address
4185 ST GEORGE RD, WILLISTON, VT 05495-7695
(802) 266-4465
(802) 531-3226
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
05/22/2024
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