Joaquin, Jessica Lyn
Joaquin, Jessica Lyn is an individual health care provider with primary practice located at 72 Highland Ave , Salem MA 01970-2738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Joaquin, Jessica Lyn can be contacted via phone (978) 745-3050.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN2258813 | Massachusetts |
Profile Details
| NPI number | 1649554049 |
|---|---|
| LBN Legal business name | Joaquin, Jessica Lyn |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2011 |
| Last updated | Dec 31st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649554049 | NPPES |
| Massachusetts | MEDICAID | 042741073 |
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