Domb, Jessica Elana
Domb, Jessica Elana is an individual health care provider with primary practice located at 480 Red Hill Rd , Middletown NJ 07748-3052. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Domb, Jessica Elana can be contacted via phone (848) 225-6265.Contact Information
Primary practice address
480 Red Hill Rd
Middletown NJ 07748-3052
Phone: (848) 225-6265
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 307222 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 341708 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NJ00597800 | New Jersey |
Profile Details
NPI number | 1104297605 |
---|---|
LBN Legal business name | Domb, Jessica Elana |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 9th, 2015 |
Last updated | Feb 16th, 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.
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