Hess, Jacqueline Sue

Hess, Jacqueline Sue is an individual health care provider with primary practice located at 2346 N Central Ave , Phoenix AZ 85004-1329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hess, Jacqueline Sue can be contacted via phone (602) 282-0078.

Contact Information

Primary practice address
2346 N Central Ave Phoenix AZ 85004-1329
Fax: (602) 282-0102
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2305 Arizona

Profile Details

NPI number 1477720530
LBN Legal business name Hess, Jacqueline Sue
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2008
Last updated Jan 17th, 2013 - about 13 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 1477720530 NPPES
Montana MEDICAID 436293

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