Doolen, Jessica

Doolen, Jessica is an individual health care provider with primary practice located at 400 Palo Verde Dr , Henderson NV 89015-6028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as her primary health care specialty. Doolen, Jessica can be contacted via phone (702) 799-0508.

Contact Information

Primary practice address
400 Palo Verde Dr Henderson NV 89015-6028
Phone: (702) 799-0508
Fax: (702) 700-0510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X APN000824 Nevada

Profile Details

NPI number 1235201708
LBN Legal business name Doolen, Jessica
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1235201708 NPPES
Nevada MEDICAID 100510379

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