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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316986417 NPPES
Maryland MEDICAID 401543600

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