Khan, Jessica L

Khan, Jessica L is an individual health care provider with primary practice located at 2620 Eagan Woods Dr Ste 300 , Eagan MN 55121-1138. 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. Khan, Jessica L can be contacted via phone (651) 968-5240.

Contact Information

Primary practice address
2620 Eagan Woods Dr Ste 300 Eagan MN 55121-1138
Phone: (651) 968-5240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R 160103-9 Minnesota

Profile Details

NPI number 1124293915
LBN Legal business name Khan, Jessica L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Aug 23rd, 2019 - about 6 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 1124293915 NPPES
Minnesota MEDICAID ENROLLED

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