Individual provider · Type 1 NPI

Jamie Patricia Decicco, MD, MS

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1255128971 Active

Practice location

1920 W 1st St
Winston Salem, NC 27104-4220

Mailing address

One Medical Center Blvd
Winston Salem, NC 27157-0001

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 1255128971

Jamie Patricia Decicco, MD, MS's National Provider Identifier is 1255128971, issued on Apr 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 24, 2025.