Individual
JESSICA KATE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
600 MARY ST, EVANSVILLE, IN 47710-1658
(812) 450-2719
Mailing address
600 MARY ST, EVANSVILLE, IN 47710-1658
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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