Sanders, Jessica

Sanders, Jessica is an individual health care provider with primary practice located at 3444 Wisconsin Ave , Vicksburg MS 39180-5331. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Sanders, Jessica can be contacted via phone (601) 638-0031.

Contact Information

Primary practice address
3444 Wisconsin Ave Vicksburg MS 39180-5331
Phone: (601) 638-0031
Fax: (601) 638-1778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1831676899
LBN Legal business name Sanders, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2018
Last updated Jul 23rd, 2018 - 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 1831676899 NPPES
Mississippi MEDICAID 00018215

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