Brandt, Jessica E
Brandt, Jessica E is an sole proprietor health care provider with primary practice located at 15418 Main St , Mill Creek WA 98012-9030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brandt, Jessica E can be contacted via phone (425) 225-8004.Contact Information
Primary practice address
15418 Main St
Mill Creek WA 98012-9030
Phone: (425) 225-8004
Fax: (425) 225-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 60175324 | Washington |
Profile Details
| NPI number | 1063726701 |
|---|---|
| LBN Legal business name | Brandt, Jessica E |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Aug 5th, 2010 - about 16 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 | 1063726701 | NPPES |
| Washington | Other | 60175324 | STATE LICENSE |
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