Carballo, Jessica Susan

Carballo, Jessica Susan is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Maternal Newborn. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Carballo, Jessica Susan can be contacted via phone (912) 435-6633.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-6633
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP61176629 Washington
Nursing Service Providers / Maternal Newborn 163WM0102X RN60857557 Washington

Profile Details

NPI number 1285222398
LBN Legal business name Carballo, Jessica Susan
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2021
Last updated Jul 21st, 2021 - about 3 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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