Individual provider · Type 1 NPI

Jessika B. Iwanski, MD PHD

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1972357374 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390

Mailing address

240 E Lee St
Tucson, AZ 85705-6720

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 1972357374

Jessika B. Iwanski, MD PHD's National Provider Identifier is 1972357374, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 15, 2024.