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Individual
MISS JESSICA HERNESS
Active
Individual
MISS JESSICA HERNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018249
PA
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11626112
CAQH
—
01
—
1344254
AETNA HMO
—
01
—
451497
HEALTH ASSURANCE
—
01
—
50063572
CAPITAL BLUE CROSS
—
01
—
7123882
AETNA PPO
—
01
—
820619
FIRST PRIORITY HEALTH
—
01
—
HE1911348
HIGHMARK BLUE SHIELD
—
Enumeration date
09/15/2006
Last updated
07/19/2007
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