Individual provider · Type 1 NPI

Jessica Brianne Dettman, PA

Physician Assistant · Gonzales, LA

NPI number 1306331814 Active

Practice location

1023 W Highway 30
Gonzales, LA 70737-5002

Fax (225) 743-2369

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1306331814

Jessica Brianne Dettman, PA's National Provider Identifier is 1306331814, issued on Jun 27, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gonzales, LA. The record was last updated on Feb 21, 2020.