Individual
JESSICA BREEN SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 HANOVER ST STE 1F, FALL RIVER, MA 02720-5451
(508) 973-8611
(508) 973-8615
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110135306A
—
MA
Enumeration date
01/15/2013
Last updated
06/03/2024
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