# LUX TELEPSYCH PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jessica Jawidzik
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538768304
- **Authorized official:** JESSICA JAWIDZIK DNP (SOLE OWNER)
- **Authorized official phone:** (802) 266-4465

## Contact information

- **Practice address:** 4185 ST GEORGE RD, WILLISTON, VT 05495-7695
- **Practice address phone:** (802) 266-4465
- **Practice address fax:** (802) 531-3226
- **Mailing address:** 4185 ST GEORGE RD, WILLISTON, VT 05495-7695
- **Mailing address phone:** (802) 266-4465
- **Mailing address fax:** (802) 531-3226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 05/22/2024