Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MT203217 | PA |
N | 208D00000X | General Practice Physician | 240284 | MA |
NPI | 1033345582 |
---|---|
Provider Name | Dr. Jessica Lee Heath |
First Address | Pittsburgh, PA 15206-4274 |
Second Address | Pittsburgh, PA 15213-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2009 |
Last Update Date | 11/04/2014 |