Doctor Name: | JESSICA RAE PILCHER |
NPI Number: | 1053543074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 347 |
Business Practice Address: | 3524 Tongass Ave Ketchikan, AK - 999015635 |
Business Phone Number: | 9072259830 |
Business Fax Number: | |
Mailing Address: | 3524 Tongass Ave, KETCHIKAN |
State: | AK |
Postal Code: | 999015635 |
Phone Number: | 9072259830 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2009 |
NPI Last Update Date: | 08/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |