NPI Registry.org

Jessica Diane Corder

NPI Registration Record

Provider / OrganizationNPIDate Certified
JESSICA DIANE CORDER15185470662021-07-09

Jessica Diane Corder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1518547066. Registration indicates Jessica Diane Corder is a provider of services with a specialization in Other Service Providers, Military Health Care Provider (Military Health Care Provider, ) (Military Health Care Provider, Other Service Providers)

Entity TypeIndividual
Provider Name Jessica Diane Corder
Practice Office Address620 JOHN PAUL JONES CIR
PORTSMOUTH, VA US
Practice Office Telephone7579532339
Mailing Address554 KEILY STREET
JACKSONVILLE, FL 32212 US
Business Telephone7579537550
Business Fax7579537560
HPT Codes
CodePractice
License No
State
171000000X PRIMARY
Other Service Providers
Military Health Care Provider
Military Health Care Provider

Military Health Care Provider
Other Service Providers
OPI Codes
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