Deis, Jessica Wren

Deis, Jessica Wren is an individual health care provider with primary practice located at 268 Southland Dr Ste 120 , Lexington KY 40503-1938. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Deis, Jessica Wren can be contacted via phone (859) 328-6410.

Contact Information

Primary practice address
268 Southland Dr Ste 120 Lexington KY 40503-1938
Phone: (859) 328-6410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R241288 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000401C Indiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3014953 Kentucky

Profile Details

NPI number 1932669306
LBN Legal business name Deis, Jessica Wren
Credentials APRN, CNM, WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Sep 18th, 2024 - about 2 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 1932669306 NPPES
Maryland MEDICAID 119591300

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