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
Fax: (760) 499-3870
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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