Individual provider · Type 1 NPI

Jessica Ann Bourgeois, DO

Student in an Organized Health Care Education/Training Program · Lititz, PA

NPI number 1063252674 Active

Practice location

1500 Highlands Drive
Lititz, PA 17543

Call (717) 625-5646 Map

Mailing address

3600 Forbes Avenue, Forbes Tower - Plaza Level Suite 140
Pittsburgh, PA 15213

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063252674

Jessica Ann Bourgeois, DO's National Provider Identifier is 1063252674, issued on May 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lititz, PA. The record was last updated on May 30, 2024.