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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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