Jegede-Gabbidon, Kisha
Jegede-Gabbidon, Kisha is an individual health care provider with primary practice located at 11208 Springfield Blvd , Queens Village NY 11429-2650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jegede-Gabbidon, Kisha can be contacted via phone (929) 430-3811.Contact Information
Primary practice address
11208 Springfield Blvd
Queens Village NY 11429-2650
Phone: (929) 430-3811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F338617-1 | New York |
Profile Details
| NPI number | 1760959530 |
|---|---|
| LBN Legal business name | Jegede-Gabbidon, Kisha |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2018 |
| Last updated | Sep 16th, 2022 - about 4 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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