Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JERRICA MARIE WILD
ActiveMRS. JERRICA MARIE WILD is a Independent Duty Medical Technician healthcare provider located in BEALE AFB, California. NPI 1003109844 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · BEALE AFB, CA
Registration Details
- NPI Number
- 1003109844
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2011 (15.178837724872 yrs)
- Last Updated
- Nov 22, 2011
Practice Information
- Address
-
15301 WARREN SHINGLE ROADBEALE AFB, CA, 95903Browse CA providers · Browse ZIP 95903
- Phone
- 5306344738
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in BEALE AFB, CA
| Name | Credential | NPI |
|---|---|---|
| JENNA DANIELLE GASPER | IDMT | 1699918979 |
| JAMES THOMAS FELDHAUSEN | IDMT | 1538302823 |
| BRIAN M RITCHIE | IDMT | 1396988408 |
| MRS. MICHELL MARIAN GIRTON | IDMT | 1851526057 |
| TANISHA E HARRISON | — | 1750516530 |
| STEPHEN MICHAEL WHEELER | IDMT | 1851634026 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.