Conrad, Jessica
Conrad, Jessica is an individual health care provider with primary practice located at 150 Infirmary Way , Amherst MA 01003-9288. 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. Conrad, Jessica can be contacted via phone (413) 577-5000.Contact Information
Primary practice address
150 Infirmary Way
Amherst MA 01003-9288
Phone: (413) 577-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R150029 | Maryland |
Profile Details
| NPI number | 1316986417 |
|---|---|
| LBN Legal business name | Conrad, Jessica |
| Credentials | C.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jan 20th, 2011 - about 15 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 | 1316986417 | NPPES |
| Maryland | MEDICAID | 401543600 |
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