Deluise, Jessica Ann

Deluise, Jessica Ann is an individual health care provider with primary practice located at 938 Old York Rd , Abington PA 19001-4703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Deluise, Jessica Ann can be contacted via phone (267) 620-0237.

Contact Information

Primary practice address
938 Old York Rd Abington PA 19001-4703
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA054781 Pennsylvania

Profile Details

NPI number 1073819744
LBN Legal business name Deluise, Jessica Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2011
Last updated Mar 28th, 2018 - about 6 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 1073819744 NPPES
Pennsylvania Other MA054781 PENNSYLVANIA STATE LICENSE

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