Bass, Stacey Jannette

Bass, Stacey Jannette is an sole proprietor health care provider with primary practice located at 455 S Main St , Orange CA 92868-3835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bass, Stacey Jannette can be contacted via phone (714) 997-3000.

Contact Information

Primary practice address
455 S Main St Orange CA 92868-3835
Phone: (714) 997-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 583021 California

Profile Details

NPI number 1295085918
LBN Legal business name Bass, Stacey Jannette
Credentials MSN, RN, PNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2012
Last updated Sep 11th, 2012 - about 14 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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