Blue, Jessica

Blue, Jessica is an individual health care provider with primary practice located at 26 Bleecker St , New York NY 10012-2413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Blue, Jessica can be contacted via phone (212) 274-7250.

Contact Information

Primary practice address
26 Bleecker St New York NY 10012-2413
Phone: (212) 274-7250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F420760 New York

Profile Details

NPI number 1033193768
LBN Legal business name Blue, Jessica
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jan 17th, 2012 - about 12 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 1033193768 NPPES
New York MEDICAID 02766681

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