Individual provider · Type 1 NPI

Jessica Elaine Minick

Student in an Organized Health Care Education/Training Program · Fort Drum, NY

NPI number 1679283196 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

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 1679283196

Jessica Elaine Minick's National Provider Identifier is 1679283196, issued on Nov 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Drum, NY. The record was last updated on Apr 17, 2025.