Raymond, Jessica Renee

Raymond, Jessica Renee is an individual health care provider with primary practice located at 10-42 Mitchell Ave Krembs 1, Binghamton NY 13903. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Raymond, Jessica Renee can be contacted via phone (607) 762-2990.

Contact Information

Primary practice address
10-42 Mitchell Ave Krembs 1 Binghamton NY 13903
Phone: (607) 762-2990
Fax: (607) 762-2639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401324 New York

Profile Details

NPI number 1780990143
LBN Legal business name Raymond, Jessica Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Apr 4th, 2017 - about 8 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 1780990143 NPPES
New York MEDICAID 03253789

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