Lane, Jessica Lynn

Lane, Jessica Lynn is an individual health care provider with primary practice located at 20225 E 9 Mile Rd , Saint Clair Shores MI 48080-1700. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Lane, Jessica Lynn can be contacted via phone (313) 600-5349.

Contact Information

Primary practice address
20225 E 9 Mile Rd Saint Clair Shores MI 48080-1700
Phone: (313) 600-5349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 4704342324 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704342324 Michigan

Profile Details

NPI number 1922767284
LBN Legal business name Lane, Jessica Lynn
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2021
Last updated Oct 26th, 2022 - about 3 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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