Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Larynn Bergman, PA-C

Individual provider Basic Emergency Medical Technician · NPI 1912698242

Jessica Larynn Bergman, PA-C is a Basic Emergency Medical Technician in Fort Stewart, Georgia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009496 (VA)
Basic Emergency Medical Technician Taxonomy 146N00000X · Licence B201802040 (VA)

Record details

NPI number1912698242
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

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