Fearing, Jesselyn Sara
Fearing, Jesselyn Sara is an individual health care provider with primary practice located at 7426 W Bonnie Pl , Kennewick WA 99336-1124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fearing, Jesselyn Sara can be contacted via phone (866) 904-7721.Contact Information
Primary practice address
7426 W Bonnie Pl
Kennewick WA 99336-1124
Phone: (866) 904-7721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA57195 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 61482140 | Washington |
Profile Details
| NPI number | 1134760895 |
|---|---|
| LBN Legal business name | Fearing, Jesselyn Sara |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | May 23rd, 2024 - 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 | 1134760895 | NPPES |
| Washington | MEDICAID | 2273928 |
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