Fudge, Jessica

Fudge, Jessica is an individual health care provider with primary practice located at 9440 Main St , Zachary LA 70791-7440. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Nursing Service Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Fudge, Jessica can be contacted via phone (225) 603-7262.

Contact Information

Primary practice address
9440 Main St Zachary LA 70791-7440
Phone: (225) 603-7262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN162126 Louisiana
Nursing Service Providers / Pediatrics 163WP0200X RN162126 Louisiana

Profile Details

NPI number 1144814864
LBN Legal business name Fudge, Jessica
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 3 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 1144814864 NPPES
Louisiana MEDICAID 1376014100

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