Powell, Jessica Nicole

Powell, Jessica Nicole is an individual health care provider with primary practice located at 1248 Kinneys Ln , Portsmouth OH 45662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Powell, Jessica Nicole can be contacted via phone (740) 356-7290.

Contact Information

Primary practice address
1248 Kinneys Ln Portsmouth OH 45662
Fax: (740) 356-7938
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.010106 Ohio

Profile Details

NPI number 1386893832
LBN Legal business name Powell, Jessica Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2008
Last updated Dec 17th, 2020 - about 5 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 1386893832 NPPES
Ohio MEDICAID 0052797

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