Foreman, Jackie D.
Foreman, Jackie D. is an individual health care provider with primary practice located at 731 S Avenue 59 , Los Angeles CA 90042-5003. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Foreman, Jackie D. can be contacted via phone (620) 875-6462.Contact Information
Primary practice address
731 S Avenue 59
Los Angeles CA 90042-5003
Phone: (620) 875-6462
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 139057 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP 19781 | California |
Profile Details
NPI number | 1972547735 |
---|---|
LBN Legal business name | Foreman, Jackie D. |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Apr 6th, 2011 - about 13 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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