Jeavons, Christa M

Jeavons, Christa M is an individual health care provider with primary practice located at 1026 Cold Springs Rd , Liverpool NY 13088-4343. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jeavons, Christa M can be contacted via phone (607) 624-7132.

Contact Information

Primary practice address
1026 Cold Springs Rd Liverpool NY 13088-4343
Phone: (607) 624-7132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 320072 New York

Profile Details

NPI number 1245438068
LBN Legal business name Jeavons, Christa M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2007
Last updated Oct 23rd, 2015 - about 9 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 1245438068 NPPES
New York MEDICAID 02957413

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