Individual
JESSICA LEIGH PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
121 N 20TH ST STE 17, OPELIKA, AL 36801-5457
(334) 528-6900
(334) 756-3164
Mailing address
325 MAINE ST, LAWRENCE, KS 66044-1360
(785) 505-3114
(785) 505-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-178860
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200356810A
—
KS
Enumeration date
05/17/2006
Last updated
11/14/2024
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