Bornemann, Jessica Jane

Bornemann, Jessica Jane is an individual health care provider with primary practice located at 71 Cherry Rd , Rocky Point NY 11778-8827. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Bornemann, Jessica Jane can be contacted via phone (631) 875-8821.

Contact Information

Primary practice address
71 Cherry Rd Rocky Point NY 11778-8827
Phone: (631) 875-8821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 673216-1 New York

Profile Details

NPI number 1013346824
LBN Legal business name Bornemann, Jessica Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2013
Last updated Nov 2nd, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013346824 NPPES
New York MEDICAID 673216-1

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