Andrus, Jessica Lee

Andrus, Jessica Lee is an sole proprietor health care provider with primary practice located at 1369 Smith Ln , Londonderry OH 45647-9743. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Andrus, Jessica Lee can be contacted via phone (740) 701-7452.

Contact Information

Primary practice address
1369 Smith Ln Londonderry OH 45647-9743
Phone: (740) 701-7452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 175079 Ohio

Profile Details

NPI number 1770109621
LBN Legal business name Andrus, Jessica Lee
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2020
Last updated Jun 16th, 2020 - about 4 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 1770109621 NPPES
Ohio Other 175079 OHIO BOARD OF NURSING

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