Individual
DR. JESSICA ANN KNIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-050412
IL
2084N0400X
Neurology Physician
01068904A
IN
2084N0400X
Neurology Physician
125-050412
IL
2084N0400X
Neurology Physician
Primary
16409
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194933465
—
NV
05
—
201002180
—
IN
05
—
3113866
—
OH
Enumeration date
05/19/2007
Last updated
06/20/2016
Update your record
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