Jessop, Adreia Jenice

Jessop, Adreia Jenice is an individual health care provider with primary practice located at 300 Oak St , Kelso WA 98626. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Jessop, Adreia Jenice can be contacted via phone (360) 353-5511.

Contact Information

Primary practice address
300 Oak St Kelso WA 98626
Phone: (360) 353-5511
Fax: (360) 353-5502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X RN00157790 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP60799447 Washington
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP60799447 Washington

Profile Details

NPI number 1972021087
LBN Legal business name Jessop, Adreia Jenice
Credentials ARNP, CNM, IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Feb 14th, 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 1972021087 NPPES
Washington Other AP60799447 WASHINGTON STATE DEPARTMENT OF HEALTH
Washington MEDICAID 2105815 WASHINGTON STATE DEPARTMENT OF HEALTH
Washington Other RN00157790 WASHINGTON STATE DEPARTMENT OF HEALTH

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