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
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881952406 NPPES
California Other 140381 MEDICAL LICENSE

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