Acoman, Jessica

Acoman, Jessica is an individual health care provider with primary practice located at 1000 Greg Kruschek Ave , Nome AK 99762-0966. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Acoman, Jessica can be contacted via phone (907) 443-9603.

Contact Information

Primary practice address
1000 Greg Kruschek Ave Nome AK 99762-0966
Phone: (907) 443-9603
Fax: (907) 443-8177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1316689243
LBN Legal business name Acoman, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2022
Last updated Apr 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316689243 NPPES
Alaska MEDICAID 1723151

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