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

Jessica Lori Radchuk, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386495679

Jessica Lori Radchuk, DO is a Student in an Organized Health Care Education/Training Program in Gainesville, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1439 Jesse Jewell Pkwy NE Ste 102
Gainesville, GA 30501-3806
Phone: (770) 219-9445
Fax: (770) 219-9446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386495679
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address743 Spring St Ne Ste 710, Gainesville, GA 30501-3715

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