Individual provider · Type 1 NPI
Jessica Lea Petty, IDC
Independent Duty Corpsman · Jacksonville, NC
Practice location
194 Maready Rd
Jacksonville, NC 28546-9332
Mailing address
Psc Box 20125, CLR-27 Group Aid Station
Camp Lejeune, NC 28542-0125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
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About NPI 1407113111
Jessica Lea Petty, IDC's National Provider Identifier is 1407113111, issued on Apr 19, 2012. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Jacksonville, NC. The record was last updated on Apr 19, 2012.