Provider Demographics
NPI:1639334816
Name:ADERMAN, JESSICA MAE (DO)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MAE
Last Name:ADERMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:MAE
Other - Last Name:PLOTTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 E MEDICAL CENTER DR BLDG D5250
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5000
Mailing Address - Country:US
Mailing Address - Phone:734-763-5405
Mailing Address - Fax:
Practice Address - Street 1:1500 E MEDICAL CENTER DR BLDG D5250
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-763-5405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.010360208000000X
390200000X
MI5101027284207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program