De Jesus, Julie
De Jesus, Julie is an sole proprietor health care provider with primary practice located at 1111 N China Lake Blvd Ste 190 , Ridgecrest CA 93555-3131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. De Jesus, Julie can be contacted via phone (760) 499-3855.Contact Information
Primary practice address
1111 N China Lake Blvd Ste 190
Ridgecrest CA 93555-3131
Phone: (760) 499-3855
Fax: (760) 499-3870
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95009965 | California |
Profile Details
NPI number | 1588129183 |
---|---|
LBN Legal business name | De Jesus, Julie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 7th, 2019 |
Last updated | May 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588129183 | NPPES |
California | Other | 75022 | REGISTERED NURSE LICENSE |
California | Other | 95009965 | REGISTERED NURSE LICENSE |
California | Other | 95009965 | REGISTERED NURSE LICENSE |
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