Richmond, Jessica Paige

Richmond, Jessica Paige is an individual health care provider with primary practice located at 700 Scott And White Dr , College Station TX 77845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Richmond, Jessica Paige can be contacted via phone (979) 207-0100.

Contact Information

Primary practice address
700 Scott And White Dr College Station TX 77845
Phone: (979) 207-0100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04660 Texas

Profile Details

NPI number 1598851016
LBN Legal business name Richmond, Jessica Paige
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 28th, 2021 - about 3 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 1598851016 NPPES
Texas Other 8N9647 BLUE CROSS BLUE SHIELD
Texas Other P00281541 BLUE CROSS BLUE SHIELD
Texas MEDICAID 180787701 BLUE CROSS BLUE SHIELD

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