Quintana, Jessie Marie

Quintana, Jessie Marie is an individual health care provider with primary practice located at 151 Central Main St , Pueblo CO 81003-4212. 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. Quintana, Jessie Marie can be contacted via phone (719) 583-4380.

Contact Information

Primary practice address
151 Central Main St Pueblo CO 81003-4212
Phone: (719) 583-4380
Fax: (719) 583-4375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 51741 Colorado

Profile Details

NPI number 1619023199
LBN Legal business name Quintana, Jessie Marie
Credentials ANPBC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619023199 NPPES
Colorado MEDICAID 40551741
Colorado Other 51741

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