Bass, Jessica Louise

Bass, Jessica Louise is an individual health care provider with primary practice located at 14355 Miranda Way , Los Altos Hills CA 94022-2032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bass, Jessica Louise can be contacted via phone (888) 731-8994.

Contact Information

Primary practice address
14355 Miranda Way Los Altos Hills CA 94022-2032
Fax: (888) 732-8119
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9263858 Florida

Profile Details

NPI number 1033475892
LBN Legal business name Bass, Jessica Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2012
Last updated Jul 27th, 2023 - about last year

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 1033475892 NPPES
Florida MEDICAID 008761600

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