NPI 1700176104

Jessica Kate Edwards, CCP

Practitioner Perfusionist Evansville, IN

Practice location

Address: 600 Mary St, Evansville, IN 47710-1658
Phone: (812) 450-2719

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

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Registry record

NPI: 1700176104
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2011
Record last updated: 19 Apr 2011

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.