Jessica Erin Ericson
Pediatric Infectious Diseases
500 University Dr
Hershey
, Pennsylvania 17033-2360
Jessica Erin Ericson
Pediatric Infectious Diseases
500 University Dr
Hershey
, Pennsylvania 17033-2360
(800) 243-1455
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Jessica Erin Ericson
- Po Box 858 Mc A410
- Hershey, PA
- Zip : 17033-0858
- Phone : (800) 243-1455
Second Address
- Jessica Erin Ericson
- 500 University Dr
- Hershey, PA
- Zip : 17033-2360
- Fax : (717) 531-0648
- Phone : (717) 531-8349
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | MD454078 | PA |
National Provider Identifier
| NPI | 1033350905 |
|---|---|
| Provider Name | Jessica Erin Ericson |
| First Address | Hershey, PA 17033-0858 |
| Second Address | Hershey, PA 17033-2360 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2009 |
| Last Update Date | 19/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1030634280001 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.