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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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