Fegan, Jessica Leigh
Fegan, Jessica Leigh is an sole proprietor health care provider with primary practice located at 615 S New Ballas Rd , Creve Coeur MO 63141-8221. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fegan, Jessica Leigh can be contacted via phone (314) 251-6000.Contact Information
Primary practice address
615 S New Ballas Rd
Creve Coeur MO 63141-8221
Phone: (314) 251-6000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Critical Care Medicine | 163WC0200X | 2012016897 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2018030057 | Missouri |
Profile Details
NPI number | 1467947317 |
---|---|
LBN Legal business name | Fegan, Jessica Leigh |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2018 |
Last updated | Nov 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467947317 | NPPES |
Missouri | Other | 2012016897 | RN LICENSE |
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