Black, Jessica Ellen

Black, Jessica Ellen is an sole proprietor health care provider with primary practice located at 1239 Liberty St Apt 225 , El Cerrito CA 94530-2347. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Black, Jessica Ellen can be contacted via phone (510) 705-2680.

Contact Information

Primary practice address
1239 Liberty St Apt 225 El Cerrito CA 94530-2347
Phone: (510) 705-2680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1992311120
LBN Legal business name Black, Jessica Ellen
Credentials MS, NC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2020
Last updated Sep 22nd, 2020 - about 5 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.

Request for update

Popular Providers