Individual
JESSICA JERRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
(215) 612-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS006297L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009452H14
MEDICARE
DE
Enumeration date
10/27/2005
Last updated
10/20/2011
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