Wood, Jessica
Wood, Jessica is an individual health care provider with primary practice located at 1400 Main St Nw , Los Lunas NM 87031-4812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Wood, Jessica can be contacted via phone (505) 916-0533.Contact Information
Primary practice address
1400 Main St Nw
Los Lunas NM 87031-4812
Phone: (505) 916-0533
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 61867 | New Mexico |
Profile Details
NPI number | 1003415753 |
---|---|
LBN Legal business name | Wood, Jessica |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2020 |
Last updated | Jul 21st, 2023 - about last year |
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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