Dettman, Jessica Brianne
Dettman, Jessica Brianne is an individual health care provider with primary practice located at 1023 W Highway 30 , Gonzales LA 70737-5002. 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. Dettman, Jessica Brianne can be contacted via phone (225) 743-2366.Contact Information
Primary practice address
1023 W Highway 30
Gonzales LA 70737-5002
Phone: (225) 743-2366
Fax: (225) 743-2369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1306331814 |
|---|---|
| LBN Legal business name | Dettman, Jessica Brianne |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2018 |
| Last updated | Feb 21st, 2020 - about 6 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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