Individual
JESSICA JAWIDZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, DNP
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
101.0134482
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6704412
—
VT
Enumeration date
06/25/2019
Last updated
05/22/2024
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