Craig, Jessica Lea

Craig, Jessica Lea is an individual health care provider with primary practice located at 251 Lyerly Street , Chattanooga TN 37404-2136. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Craig, Jessica Lea can be contacted via phone (423) 826-8000.

Contact Information

Primary practice address
251 Lyerly Street Chattanooga TN 37404-2136
Fax: (423) 826-8005
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN144337 NP Georgia

Profile Details

NPI number 1891768339
LBN Legal business name Craig, Jessica Lea
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 14th, 2011 - about 13 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 1891768339 NPPES
Georgia MEDICAID 194286372A

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