Anthony, Jesseca

Anthony, Jesseca is an sole proprietor health care provider with primary practice located at 2688 Peachcrest St , Ypsilanti MI 48198-3323. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Anthony, Jesseca can be contacted via phone (734) 329-1859.

Contact Information

Primary practice address
2688 Peachcrest St Ypsilanti MI 48198-3323
Phone: (734) 329-1859
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703112763 Michigan

Profile Details

NPI number 1982133765
LBN Legal business name Anthony, Jesseca
Credentials NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2017
Last updated Jun 6th, 2017 - about 7 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 1982133765 NPPES
Michigan MEDICAID 1114014529

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