Nusbaum, Jessica

Nusbaum, Jessica is an sole proprietor health care provider with primary practice located at 1180 Shallows Ct , Port Orange FL 32129-2498. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Nusbaum, Jessica can be contacted via phone (386) 212-1528.

Contact Information

Primary practice address
1180 Shallows Ct Port Orange FL 32129-2498
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1518745710
LBN Legal business name Nusbaum, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2023
Last updated Sep 19th, 2023 - about last year

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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