Individual
JESSICA LEEANNE PIETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36 BRIDGE WAY, PASCOAG, RI 02859-3131
(401) 567-0800
Mailing address
6 GENTIAN RD, NORTON, MA 02766-1624
(508) 838-4350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01587
RI
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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