Amico, Jessica
Amico, Jessica is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Amico, Jessica can be contacted via phone (808) 388-0141.Contact Information
Primary practice address
1061 Harmon Ave
Fort Stewart GA 31314-5641
Phone: (808) 388-0141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 0097956 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0003064 | Colorado |
Profile Details
| NPI number | 1164820882 |
|---|---|
| LBN Legal business name | Amico, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2014 |
| Last updated | Apr 25th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164820882 | NPPES |
| Other | 1288023197 | DOD ID NUMBER |
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