Wild, Jessica

Wild, Jessica is an sole proprietor health care provider with primary practice located at 12303 Depaul Drive , Bridgeton MO 63044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wild, Jessica can be contacted via phone (314) 344-6080.

Contact Information

Primary practice address
12303 Depaul Drive Bridgeton MO 63044
Phone: (314) 344-6080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2019023513 Missouri

Profile Details

NPI number 1023661709
LBN Legal business name Wild, Jessica
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - about 5 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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