NPI 1093401572

Jessica Tedrow

Practitioner Student in an Organized Health Care Education/Training Program Vincennes, IN

Practice location

Address: 121 Buntin St, Vincennes, IN 47591-1320
Phone: (812) 885-4413
Fax: (812) 885-8621

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1093401572
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2023
Record last updated: 17 Apr 2023

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.