Kosydor, Jayda Lea
Kosydor, Jayda Lea is an individual health care provider with primary practice located at 3412 Office Park Dr , Marion IL 62959-6477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kosydor, Jayda Lea can be contacted via phone (618) 993-0404.Contact Information
Primary practice address
3412 Office Park Dr
Marion IL 62959-6477
Phone: (618) 993-0404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 209022897 | Illinois |
Profile Details
| NPI number | 1356935100 |
|---|---|
| LBN Legal business name | Kosydor, Jayda Lea |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2021 |
| Last updated | Mar 3rd, 2021 - about 5 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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