Mrs. Jessica Lea Petty, IDC
Mrs. Jessica Lea Petty, IDC is an Independent Duty Corpsman in Jacksonville, North Carolina. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
194 Maready RdJacksonville, NC 28546-9332
Phone: (904) 240-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1407113111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | April 19, 2012 |
| Last updated in NPPES | April 19, 2012 |
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