Maldonado, Jessica Michelle

Maldonado, Jessica Michelle is an individual health care provider with primary practice located at 100 Freeman Dr , Saint Peter MN 56082-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Maldonado, Jessica Michelle can be contacted via phone (507) 985-2121.

Contact Information

Primary practice address
100 Freeman Dr Saint Peter MN 56082-3504
Phone: (507) 985-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X CNP4699 Minnesota

Profile Details

NPI number 1184170383
LBN Legal business name Maldonado, Jessica Michelle
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2016
Last updated Jan 7th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184170383 NPPES
Minnesota Other CNP4699 AMERICAN NURSE'S CREDENTIALING CENTER

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