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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANN R JESICK, MD

Deactivated Sole Proprietor

ANN R JESICK, MD is a Family Medicine healthcare provider located in INDIANA, Pennsylvania. NPI 1487647053 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · INDIANA, PA

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1487647053
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2005 (0.56438356164384 yrs)
Last Updated
Jan 13, 2010
Deactivated
Mar 23, 2006
License
MD036779 (PA)
Sole Proprietor
Yes

Practice Information

Address
15 S 8TH ST
INDIANA, PA, 157012776
Browse PA providers · Browse ZIP 15701
Phone
7243497388
Fax
7244637072
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in INDIANA, PA

Name Credential NPI
DR. WILLIAM PETER MUELLER MD 1982693602
DR. DONNA L BALEWICK M.D. 1750371902
DR. ANTHONY L SICO D.O. 1942290176
DR. KIM ALAN HATCHER MD 1265422323
DR. BRIAN W HAWTHORNE M.D. 1396726337
DR. RICHARD K NEFF MD 1497725675
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.