MRS. JESSICA LYNN PEDERSON
NPI 1679107973
Technician/Technologist in Decatur, GA
Active since February 25, 2020
About Mrs. Jessica Lynn Pederson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JESSICA LYNN PEDERSON (NPI 1679107973) is an individual technician/technologist in Decatur, Georgia and active in the NPI registry since February 2020.
NPPES Registry Identity
NPI1679107973
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameMRS. JESSICA LYNN PEDERSON
Location Address160 CLAIREMONT AVE STE 625Decatur, GA 30030-2541
Mailing Address1055 E Colorado Blvd Ste 560Pasadena, CA 91106-2380 · (818) 241-6780 · Fax (818) 241-6853
Phone(678) 954-5721
Sole ProprietorNo
Enumeration DateFebruary 25, 2020
✔ NPI 1679107973 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
160 CLAIREMONT AVE STE 625, Decatur, GA 30030
Other Names 1
Other Name (5)Mrs. Jessica Lynn Ho
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679107973, enumerated as an "individual" on February 25, 2020.
The provider is located at 160 CLAIREMONT AVE STE 625 DECATUR, GA 30030 and the phone number is (678) 954-5721.
Technician/Technologist with taxonomy code 156F00000X.
