Individual
JESSICA SHIELDS
Active
Individual
JESSICA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
181435
CA
207T00000X
Neurological Surgery Physician
88776
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
02/03/2023
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