Anglin, Jessica Lynn

Anglin, Jessica Lynn is an individual health care provider with primary practice located at 200 Clinic Dr Fl 6 , Madisonville KY 42431-1661. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Anglin, Jessica Lynn can be contacted via phone (812) 477-7246.

Contact Information

Primary practice address
200 Clinic Dr Fl 6 Madisonville KY 42431-1661
Phone: (812) 477-7246
Fax: (812) 477-7240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 3014910 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3014910 Kentucky

Profile Details

NPI number 1104438902
LBN Legal business name Anglin, Jessica Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2020
Last updated Feb 2nd, 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 1104438902 NPPES
Kentucky MEDICAID 710053770

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