Jessica D Wissenbach, DO is a student in an organized health care education training program in Provo, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jessica D Wissenbach, DO NPI is 1114676004. 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:
475 W 940 N
PROVO, UT
ZIP 84604-301
Phone: (801) 357-7940
The enumeration date for this NPI number is 3/20/2022 and was last updated on 8/2/2022.