Jessica D'souza, is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Jessica D'souza is licensed to practice in * (Not Available) (license number ) and her current practice location is
1521 W 78th St Apt 619, Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 770-5758.
NPI number for Jessica D'souza is 1619794302 and her current mailing address is 1521 W 78th St Apt 619, Tulsa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619794302.
Provider's Profile
| Full Name | Jessica D'souza |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1521 W 78th St Apt 619, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619794302
- Provider Enumeration Date: 09/24/2024
- Last Update Date: 09/24/2024
Medical Identifiers
Medical identifiers for Jessica D'souza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619794302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica D'souza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica D'souza,
1521 W 78th St Apt 619,
Tulsa, OK 74132-4615
Ph: (918) 770-5758 | Jessica D'souza,
1521 W 78th St Apt 619,
Tulsa, OK 74132-4615
Ph: (918) 770-5758 |
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