Long, Jessica
Long, Jessica is an individual health care provider with primary practice located at 6300 22 Mile Rd , Shelby Twp MI 48317-2106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Long, Jessica can be contacted via phone (586) 726-9860.Contact Information
Primary practice address
6300 22 Mile Rd
Shelby Twp MI 48317-2106
Phone: (586) 726-9860
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704234996 | Michigan |
Profile Details
NPI number | 1922519958 |
---|---|
LBN Legal business name | Long, Jessica |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2017 |
Last updated | Oct 17th, 2017 - about 7 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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