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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467947317 NPPES
Missouri Other 2012016897 RN LICENSE

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