Individual
JESSICA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 SILVERSIDE RD STE 104, WILMINGTON, DE 19809-1768
(844) 365-7246
(844) 516-0080
Mailing address
291 CARTER DR STE A, MIDDLETOWN, DE 19709-5845
(844) 365-7246
(844) 516-0080
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
C5-0011487
DE
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250630460
—
DE
Enumeration date
08/09/2019
Last updated
05/04/2023
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