Anderson, Jessica Lynn
Anderson, Jessica Lynn is an individual health care provider with primary practice located at 937 Highland Blvd Ste 5410 , Bozeman MT 59715-6916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Jessica Lynn can be contacted via phone (406) 414-4260.Contact Information
Primary practice address
937 Highland Blvd Ste 5410
Bozeman MT 59715-6916
Phone: (406) 414-4260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 575 | Montana |
Profile Details
NPI number | 1417115791 |
---|---|
LBN Legal business name | Anderson, Jessica Lynn |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2008 |
Last updated | Jul 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417115791 | NPPES |
Montana | MEDICAID | 1417115791 |
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