Individual provider · Type 1 NPI
Jordyn Deborah Bethea, PA-C
Medical Physician Assistant · Baltimore, MD
NPI number
1265872105
Active
Practice location
3001 S Hanover St Ste 216A
Baltimore, MD 21225-1233
Mailing address
414 Light St Unit 4201
Baltimore, MD 21202-1347
Other practice locations
- 4205 W Atlantic Ave, Bldg B Suite 201, Delray Beach, FL 33445-3901 · (561) 638-9140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0007175 (MD) |
Medical Physician Assistant: Definition to come...
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About NPI 1265872105
Jordyn Deborah Bethea, PA-C's National Provider Identifier is 1265872105, issued on Jun 25, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Oct 10, 2019.