NPI 1992379135 · live from the CMS NPI Registry
Jessica Lauryn Baum, PA-C
Physician Assistant in Lawrenceville, GA. National Provider Identifier 1992379135, active.
NPI record
| NPI | 1992379135 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 631 Professional Dr Ste 170, Lawrenceville, GA 30046 |
| Practice phone | 678-612-2663 |
| Enumerated | May 13, 2021 |
| Last updated | January 24, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Trauma | 207XX0801X | 10351 (GA) |
| Physician Assistant primary | 363A00000X | 10351 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.