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Individual

JESSICA PERCOCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2850
Mailing address
1498 PACIFIC AVE STE 400, TACOMA, WA 98402-4208
(855) 768-6363

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61146265
WA
363LF0000X
Family Nurse Practitioner
AP61146265
WA
363LF0000X
Family Nurse Practitioner
Primary
SP020746
PA

Other

Enumeration date
08/01/2019
Last updated
07/11/2024
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