Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Brianne Dettman, PA

Individual provider Physician Assistant · NPI 1306331814

Jessica Brianne Dettman, PA is a Physician Assistant in Gonzales, Louisiana. Qualified in 2018, 8 years ago. Practices with Pcp Urgent Care Holdings LLC, a 50-clinician group and accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1023 W Highway 30
Gonzales, LA 70737-5002
Phone: (225) 743-2366
Fax: (225) 743-2369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1306331814
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pcp Urgent Care Holdings Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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