NPI 1063764504

Jodee Lynn Deutsch Trivette, PAC

Practitioner Physician Assistant Fairbanks, AK

Practice location

Address: 1650 Cowles St, Fairbanks, AK 99701-5999
Phone: (907) 458-6943

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Alaska →

Registry record

NPI: 1063764504
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2012
Record last updated: 9 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.