Bergman, Jessica Larynn

Bergman, Jessica Larynn is an sole proprietor 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 Emergency Medical Service Providers / Emergency Medical Technician, Basic, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bergman, Jessica Larynn can be contacted via phone (912) 435-6965.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X B201802040 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110009496 Virginia

Profile Details

NPI number 1912698242
LBN Legal business name Bergman, Jessica Larynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2023
Last updated May 3rd, 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.

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