Phillips, Jessica Marie
Phillips, Jessica Marie is an sole proprietor health care provider with primary practice located at 16118 Huntmere Ave , Cleveland OH 44110-1545. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Agencies / Day Training, Developmentally Disabled Services, Other Service Providers / Community Health Worker. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Phillips, Jessica Marie can be contacted via phone (216) 322-1852.Contact Information
Primary practice address
16118 Huntmere Ave
Cleveland OH 44110-1545
Phone: (216) 322-1852
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN146071 | Ohio |
Agencies / Day Training, Developmentally Disabled Services | 251C00000X | PN146071 | Ohio |
Other Service Providers / Community Health Worker | 172V00000X | 146071 | Ohio |
Profile Details
NPI number | 1467716464 |
---|---|
LBN Legal business name | Phillips, Jessica Marie |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 25th, 2012 |
Last updated | Dec 9th, 2015 - about 9 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 | 1467716464 | NPPES |
Ohio | MEDICAID | 0077930 |
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