| NPI | 1538768304 |
|---|---|
| Doing Business As | JESSICA JAWIDZIK |
| Entity Type | Organization |
| Authorized Contact | JESSICA JAWIDZIK Sole Owner 802-266-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-05-22 |