Mcgimsey, Jessica L

Mcgimsey, Jessica L is an individual health care provider with primary practice located at 4250 Fowler Ln , Diamond Springs CA 95619-9781. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcgimsey, Jessica L can be contacted via phone (530) 626-3105.

Contact Information

Primary practice address
4250 Fowler Ln Diamond Springs CA 95619-9781
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1548727902
LBN Legal business name Mcgimsey, Jessica L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2019
Last updated May 18th, 2023 - about 2 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 1548727902 NPPES
California MEDICAID 101YM0800X

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