Doctor Name: | JAMIE LYNN PLETT |
NPI Number: | 1033412531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A106453 |
Business Practice Address: | 430 N Pleasant Ave Centralia, IL - 628013006 |
Business Phone Number: | 6184568380 |
Business Fax Number: | |
Mailing Address: | 430 N Pleasant Ave, CENTRALIA |
State: | IL |
Postal Code: | 628013006 |
Phone Number: | 6184568380 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2010 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | A106453 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |