Dejarnette, Jessica
Dejarnette, Jessica is an sole proprietor health care provider with primary practice located at 3431 Broadway St Ste A8 , American Canyon CA 94503-1228. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Dejarnette, Jessica can be contacted via phone (770) 905-6826.Contact Information
Primary practice address
3431 Broadway St Ste A8
American Canyon CA 94503-1228
Phone: (770) 905-6826
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 140381 | California |
Profile Details
NPI number | 1881952406 |
---|---|
LBN Legal business name | Dejarnette, Jessica |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2012 |
Last updated | Jul 11th, 2022 - 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 | 1881952406 | NPPES |
California | Other | 140381 | MEDICAL LICENSE |
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