Menard, Jessica Lyn
Menard, Jessica Lyn is an individual health care provider with primary practice located at 840 Pine St Suite 880, Macon GA 31201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Menard, Jessica Lyn can be contacted via phone (478) 743-7092.Contact Information
Primary practice address
840 Pine St Suite 880
Macon GA 31201
Phone: (478) 743-7092
Fax: (478) 743-6293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 4132 | Georgia |
Profile Details
| NPI number | 1235176819 |
|---|---|
| LBN Legal business name | Menard, Jessica Lyn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jan 13th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235176819 | NPPES |
| Georgia | MEDICAID | 700604110A |
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