Chischillie, Jessie Kathleen
Chischillie, Jessie Kathleen is an sole proprietor health care provider with primary practice located at 1248 E 90 N Ste 300 , American Fork UT 84003-2956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chischillie, Jessie Kathleen can be contacted via phone (801) 765-9635.Contact Information
Primary practice address
1248 E 90 N Ste 300
American Fork UT 84003-2956
Phone: (801) 765-9635
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 7658870 | Utah |
Profile Details
| NPI number | 1508566860 |
|---|---|
| LBN Legal business name | Chischillie, Jessie Kathleen |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2023 |
| Last updated | Oct 11th, 2023 - about last year |
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 | 1508566860 | NPPES |
| Other | 7658870-4405 | DOPL |
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