Provider Demographics
NPI:1598342198
Name:DINSMORE, JESSICA TIRZAH (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:TIRZAH
Last Name:DINSMORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 19TH STREET SOUTH
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0019
Mailing Address - Country:US
Mailing Address - Phone:205-934-0727
Mailing Address - Fax:205-934-4659
Practice Address - Street 1:625 19TH STREET SOUTH
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0019
Practice Address - Country:US
Practice Address - Phone:205-934-0727
Practice Address - Fax:205-934-4659
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program