Blair, Jessica Anne

Blair, Jessica Anne is an individual health care provider with primary practice located at 1720A Medical Park Dr Ste 150 , Biloxi MS 39532-2135. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Blair, Jessica Anne can be contacted via phone (228) 392-7429.

Contact Information

Primary practice address
1720A Medical Park Dr Ste 150 Biloxi MS 39532-2135
Phone: (228) 392-7429
Fax: (228) 396-3830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00390 Mississippi

Profile Details

NPI number 1881770378
LBN Legal business name Blair, Jessica Anne
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Nov 28th, 2023 - 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 1881770378 NPPES
Mississippi MEDICAID 006231797

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