MRS. Jessica B Ice, PA

NPI #1346261013 in Bloomfield, Kentucky

Provider Information

NPI Number: 1346261013
Entity Type: Individual
Name: MRS. Jessica B Ice, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 107 PERRY ST
City: Bloomfield
State: Kentucky
ZIP Code: 40008
Phone: (502) 252-5081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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