Jesena, Teresita G

Jesena, Teresita G is an individual health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jesena, Teresita G can be contacted via phone (248) 471-8720.

Contact Information

Primary practice address
28050 Grand River Ave Farmington Hills MI 48336-5919
Phone: (248) 471-8720
Fax: (248) 471-8966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704080010 Michigan

Profile Details

NPI number 1871513317
LBN Legal business name Jesena, Teresita G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1871513317 NPPES
Michigan MEDICAID 3056064

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