Bone, Jesse
Bone, Jesse is an individual health care provider with primary practice located at 535 Jordan Dr , Monticello AR 71655-5714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bone, Jesse can be contacted via phone (870) 367-6246.Contact Information
Primary practice address
535 Jordan Dr
Monticello AR 71655-5714
Phone: (870) 367-6246
Fax: (870) 367-5857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004807 | Arkansas |
Profile Details
| NPI number | 1770039752 |
|---|---|
| LBN Legal business name | Bone, Jesse |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2016 |
| Last updated | Nov 3rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770039752 | NPPES |
| Arkansas | MEDICAID | 215589758 |
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