Individual provider · Type 1 NPI

Jessica Danielle Rebaza, MD

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

NPI number 1962262220 Active

Practice location

19475 Old Jetton Rd Ste 200
Cornelius, NC 28031-6591

Call (704) 316-5136 Map

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL24-0982 (NC)

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.

9 other providers at this address

Other student in an organized health care education/training program providers in Cornelius

See all in Cornelius →

About NPI 1962262220

Jessica Danielle Rebaza, MD's National Provider Identifier is 1962262220, issued on Mar 21, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cornelius, NC. The record was last updated on Jun 12, 2024.