Brandon, Jessica Marie

Brandon, Jessica Marie is an individual health care provider with primary practice located at 3000 Medical Center Pkwy , Bentonville AR 72712-3217. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Brandon, Jessica Marie can be contacted via phone (479) 553-1000.

Contact Information

Primary practice address
3000 Medical Center Pkwy Bentonville AR 72712-3217
Phone: (479) 553-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2009007465 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C02903 Arkansas

Profile Details

NPI number 1124353982
LBN Legal business name Brandon, Jessica Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2009
Last updated Apr 8th, 2021 - about 5 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 1124353982 NPPES
Arkansas MEDICAID 180228758
Arkansas Other 431560263

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