Cruz, Jessica Alexandra

Cruz, Jessica Alexandra is an individual health care provider with primary practice located at 213 N Main St , Moscow ID 83843-2700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cruz, Jessica Alexandra can be contacted via phone (208) 882-7565.

Contact Information

Primary practice address
213 N Main St Moscow ID 83843-2700
Phone: (208) 882-7565
Fax: (208) 882-7567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1795 Idaho

Profile Details

NPI number 1952942195
LBN Legal business name Cruz, Jessica Alexandra
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Sep 30th, 2019 - about 7 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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