Avellino, Jessica L

Avellino, Jessica L is an sole proprietor health care provider with primary practice located at 2250 Hickory Rd Suite 240, Plymouth Meeting PA 19462-1047. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Avellino, Jessica L can be contacted via phone (609) 387-7322.

Contact Information

Primary practice address
2250 Hickory Rd Suite 240 Plymouth Meeting PA 19462-1047
Phone: (609) 387-7322
Fax: (609) 387-7540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 26NP04959900 New Jersey

Profile Details

NPI number 1801085360
LBN Legal business name Avellino, Jessica L
Credentials NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 17 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 1801085360 NPPES
New Jersey Other 26NP04959900 STATE BOARD NURSING

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