Jackson, Jessica Davis

Jackson, Jessica Davis is an individual health care provider with primary practice located at 810 Plaza Blvd , Lancaster PA 17601-2762. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jackson, Jessica Davis can be contacted via phone (717) 735-1463.

Contact Information

Primary practice address
810 Plaza Blvd Lancaster PA 17601-2762
Phone: (717) 735-1463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT006419 Pennsylvania

Profile Details

NPI number 1861875486
LBN Legal business name Jackson, Jessica Davis
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2015
Last updated Mar 4th, 2024 - about 9 months 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 1861875486 NPPES
Pennsylvania MEDICAID 1030512850001
Pennsylvania Other 13592238

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