Jillian R Dedeaux, CSFA
Jillian R Dedeaux, CSFA is a Surgical Physician Assistant in Gulfport, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
14247 N Swan RdGulfport, MS 39503-8551
Phone: (228) 297-6640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1710566336 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CSFA |
| Sole proprietor | No |
| NPI enumerated | April 2, 2021 |
| Last updated in NPPES | April 2, 2021 |
| Certification date | April 2, 2021 |
| Mailing address | Po Box 7095, Gulfport, MS 39506-7095 |
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