Tucker, Jessica

Tucker, Jessica is an individual health care provider with primary practice located at 201 5Th St Nw Unit 790 , Watford City ND 58854-7118. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Tucker, Jessica can be contacted via phone (701) 444-3661.

Contact Information

Primary practice address
201 5Th St Nw Unit 790 Watford City ND 58854-7118
Phone: (701) 444-3661
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508482324
LBN Legal business name Tucker, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2020
Last updated Jun 17th, 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 1508482324 NPPES
North Dakota MEDICAID 937374

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