Jessica Aron Souza
Jessica Aron Souza is an Undefined Physician Type (Specify) in Durham, North Carolina. Qualified in 2023, 3 years ago. Practices with Mona R Gupta DO Incorporated, a 26-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
1006 Lamond Ave Ste ADurham, NC 27701-2074
Phone: (919) 587-8018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1710762935 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2023 |
| Last updated in NPPES | August 28, 2023 |
| Certification date | August 27, 2023 |
Medicare enrollment
| Medicare specialty | UNDEFINED PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Mona R Gupta Do Incorporated — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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