JESSICA FEDORKA PA NPI 1982043188

NPI Information

NPI: 1982043188
Provider Name: JESSICA FEDORKA, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
521 MOUNT HOPE ST STE 206H
NORTH ATTLEBORO, MA
ZIP 02760
Phone: (774) 643-0505
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Jessica Fedorka, PA is a medical physician assistant in North Attleboro, MA. Jessica Fedorka, PA NPI is 1982043188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

521 MOUNT HOPE ST STE 206H
NORTH ATTLEBORO, MA
ZIP 02760-611
Phone: (774) 643-0505
Fax: (774) 214-0050

The NPI 1982043188 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2013 and was last updated on 1/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA4674	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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