Individual provider · Type 1 NPI
Jessica Lynn Pederson
Technician/Technologist · Decatur, GA
NPI number
1679107973
Active
Practice location
160 Clairemont Ave Ste 625
Decatur, GA 30030-2541
Mailing address
1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Technician/Technologist Primary | 156F00000X | None listed |
Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.
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About NPI 1679107973
Jessica Lynn Pederson's National Provider Identifier is 1679107973, issued on Feb 25, 2020. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Decatur, GA. The record was last updated on Feb 25, 2020.