Jawidzik, Jessica
Jawidzik, Jessica is an sole proprietor health care provider with primary practice located at 4185 St George Rd , Williston VT 05495-7695. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jawidzik, Jessica can be contacted via phone (802) 266-4465.Contact Information
Primary practice address
4185 St George Rd
Williston VT 05495-7695
Phone: (802) 266-4465
Fax: (802) 531-3226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 101.0134482 | Vermont |
Profile Details
| NPI number | 1235790874 |
|---|---|
| LBN Legal business name | Jawidzik, Jessica |
| Credentials | APRN, DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2019 |
| Last updated | May 22nd, 2024 - about last year |
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 | 1235790874 | NPPES |
| Vermont | MEDICAID | 6704412 |
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