Individual
JESSICA M. AMSDEN
Active
Individual
JESSICA M. AMSDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
263
MT
363AM0700X
Medical Physician Assistant
Primary
MED-PAC-LIC-263
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093363
MT BCBS PIN
MT
01
—
0437087
MT MDCD PIN
MT
Enumeration date
06/07/2006
Last updated
02/24/2022
Update your record
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