Individual provider · Type 1 NPI

Jessica Marie Robertson, DO

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

NPI number 1548558562 Active

Practice location

2301 Erwin Rd
Durham, NC 27710-2126

Mailing address

2301 Erwin Rd
Durham, NC 27705-4699

Other practice locations

  • 4046 N Downer Ave, Shorewood, WI 53211-2126 · (414) 339-1220

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 1548558562

Jessica Marie Robertson, DO's National Provider Identifier is 1548558562, issued on Jul 11, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Durham, NC. The record was last updated on Feb 22, 2021.