Individual
MS. JESSICA F. DOERRLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 SHEPHERD ST, SUITE 300, WINSTON SALEM, NC 27103
(336) 713-7306
(336) 713-7322
Mailing address
500 SHEPHERD ST, SUITE 300, WINSTON SALEM, NC 27103
(336) 713-7306
(336) 713-7322
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9106657
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007385100
—
FL
Enumeration date
07/26/2012
Last updated
09/09/2019
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