Acosta, Jessica Lynn

Acosta, Jessica Lynn is an individual health care provider with primary practice located at 2222 E Highland Ave Ste 400 , Phoenix AZ 85016-4880. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Acosta, Jessica Lynn can be contacted via phone (602) 277-4868.

Contact Information

Primary practice address
2222 E Highland Ave Ste 400 Phoenix AZ 85016-4880
Phone: (602) 277-4868
Fax: (602) 230-9350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0612491 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP4571 Arizona

Profile Details

NPI number 1598011785
LBN Legal business name Acosta, Jessica Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2012
Last updated Oct 20th, 2021 - about 3 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 1598011785 NPPES
Arizona Other 766637 AHCCCS

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