Pedersen, Jessica Leigh

Pedersen, Jessica Leigh is an individual health care provider with primary practice located at 325 Maine St , Lawrence KS 66044-1360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pedersen, Jessica Leigh can be contacted via phone (785) 505-3114.

Contact Information

Primary practice address
325 Maine St Lawrence KS 66044-1360
Phone: (785) 505-3114
Fax: (785) 505-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 45754 Kansas

Profile Details

NPI number 1659323541
LBN Legal business name Pedersen, Jessica Leigh
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 9th, 2011 - about 13 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 1659323541 NPPES
Kansas MEDICAID 200356810A

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