Individual
DR. JAMIE LYNN HETTICK
Active
Individual
DR. JAMIE LYNN HETTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51460
MT
207R00000X
Internal Medicine Physician
M-11126
ID
207R00000X
Internal Medicine Physician
MD 047575
PA
208M00000X
Hospitalist Physician
MD047575L
PA
Other
Enumeration date
08/30/2006
Last updated
11/27/2023
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