Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD446834 | PA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MT202902 | PA |
NPI | 1194984518 |
---|---|
Provider Name | Nicole J Jarrett |
First Address | Pittsburgh, PA 15213-2500 |
Second Address | Pittsburgh, PA 15213-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 18/09/2012 |