Smith, Jessica E

Smith, Jessica E is an individual health care provider with primary practice located at 795 El Camino Real , Palo Alto CA 94301-2302. 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. Smith, Jessica E can be contacted via phone (650) 853-2984.

Contact Information

Primary practice address
795 El Camino Real Palo Alto CA 94301-2302
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54766 California

Profile Details

NPI number 1760685051
LBN Legal business name Smith, Jessica E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jun 3rd, 2020 - about 4 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 1760685051 NPPES
Idaho MEDICAID 1760685051

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