Klesh, Jamie L.

Klesh, Jamie L. is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Klesh, Jamie L. can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X TP005364B Pennsylvania

Profile Details

NPI number 1942405337
LBN Legal business name Klesh, Jamie L.
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated Aug 2nd, 2011 - about 14 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 1942405337 NPPES
Pennsylvania Other CC9269 RR MEDICARE GROUP
Pennsylvania MEDICAID 01976374 RR MEDICARE GROUP
Pennsylvania Other 500018973 RR MEDICARE GROUP
Pennsylvania Other GU039851 RR MEDICARE GROUP

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