Jessica E Shores, IDC
NPI #1215232830 in Pascagoula, Mississippi
Provider Information
- NPI Number
- 1215232830
- Entity Type
- Individual
- Name
- Jessica E Shores, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jan 12, 2011
- Last Updated
- Jun 4, 2018
Practice Location
- Address
- 1000 ACCESS RD BLDG 2026
- City
- Pascagoula
- State
- Mississippi
- ZIP Code
- 39567
- Phone
- (228) 935-3361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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