Individual
MRS. JESIKA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 EAST BENSON BLVD, SUITE 103, ANCHORAGE, AK 99623
(907) 250-2511
Mailing address
500 EAST BENSON BLVD, SUITE 103, ANCHORAGE, AK 99623-7255
(907) 250-2511
(907) 250-2511
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PADA1252
AK
Other
Enumeration date
05/01/2015
Last updated
05/03/2017
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