Gillen, Jessica
Gillen, Jessica is an sole proprietor health care provider with primary practice located at 3850 S National Ave Ste 700 , Springfield MO 65807-5292. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Gillen, Jessica can be contacted via phone (417) 875-3000.Contact Information
Primary practice address
3850 S National Ave Ste 700
Springfield MO 65807-5292
Phone: (417) 875-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 30708 | Oklahoma |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 2021032827 | Missouri |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 2021032827 | Missouri |
Profile Details
| NPI number | 1700290467 |
|---|---|
| LBN Legal business name | Gillen, Jessica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2014 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700290467 | NPPES |
| Missouri | MEDICAID | 200100758 |
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