Dean, Jessica

Dean, Jessica is an individual health care provider with primary practice located at 5900 S Lake Dr , Cudahy WI 53110-3171. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dean, Jessica can be contacted via phone (414) 489-9000.

Contact Information

Primary practice address
5900 S Lake Dr Cudahy WI 53110-3171
Phone: (414) 489-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3829 Wisconsin

Profile Details

NPI number 1558714808
LBN Legal business name Dean, Jessica
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Jan 26th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558714808 NPPES
Wisconsin MEDICAID 100061742

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