Dekan, Jessica A
Dekan, Jessica A is an individual health care provider with primary practice located at 5800 W Layton Ave , Greenfield WI 53220-4021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dekan, Jessica A can be contacted via phone (262) 532-3067.Contact Information
Primary practice address
5800 W Layton Ave
Greenfield WI 53220-4021
Phone: (262) 532-3067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4722 | Wisconsin |
Profile Details
| NPI number | 1699044156 |
|---|---|
| LBN Legal business name | Dekan, Jessica A |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2011 |
| Last updated | Dec 29th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699044156 | NPPES |
| Wisconsin | MEDICAID | 100020691 |
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