Macleod, Jessica L
Macleod, Jessica L is an individual health care provider with primary practice located at 142 Woodridge Drive , Berlin VT 05602-9516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Macleod, Jessica L can be contacted via phone (802) 371-4700.Contact Information
Primary practice address
142 Woodridge Drive
Berlin VT 05602-9516
Phone: (802) 371-4700
Fax: (802) 371-4720
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 101-0068303 | Vermont |
Profile Details
NPI number | 1336469337 |
---|---|
LBN Legal business name | Macleod, Jessica L |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2010 |
Last updated | Dec 23rd, 2014 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336469337 | NPPES |
Vermont | MEDICAID | 1017871 |
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