Denigris, Jessica L

Denigris, Jessica L is an individual health care provider with primary practice located at 325 W Broad St Fl 2 , Bethlehem PA 18018-5526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Denigris, Jessica L can be contacted via phone (484) 626-9222.

Contact Information

Primary practice address
325 W Broad St Fl 2 Bethlehem PA 18018-5526
Fax: (484) 626-9220
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP023054 Pennsylvania

Profile Details

NPI number 1902550643
LBN Legal business name Denigris, Jessica L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2022
Last updated Feb 11th, 2022 - about 4 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 1902550643 NPPES
Pennsylvania Other SP023054 STATE LICENSE

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