Jessica Leigh Bergstrom, PA-C
Physician Assistant in Media, PA. Individual provider (NPI-1).
NPI number1497290282
StatusActive
Last updated in NPPESSep 30, 2019
Details
- NPI
- 1497290282
- Entity type
- Individual (NPI-1)
- Name
- Jessica Leigh Bergstrom
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2017
- Last updated
- Sep 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA058785 | PA | Yes |
Practice location
605 W State StMedia, PA 19063-2620
Phone 610-565-8600 · Fax 610-891-9238
Mailing address
605 W State StMedia, PA 19063-2620
Phone 610-565-8600 · Fax 610-891-9238
Other practice locations
801 Ostrum St
Bethlehem, PA 18015-1000
Bethlehem, PA 18015-1000
Phone 484-526-6643
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