Dance, Jessica

Dance, Jessica is an sole proprietor health care provider with primary practice located at 659 W 45 S , Blackfoot IDAHO 83221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dance, Jessica can be contacted via phone (208) 681-7501.

Contact Information

Primary practice address
659 W 45 S Blackfoot IDAHO 83221
Phone: (208) 681-7501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 66415 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 66515 Idaho

Profile Details

NPI number 1538763909
LBN Legal business name Dance, Jessica
Credentials FNP ANCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2020
Last updated Feb 7th, 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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