Jessee-Breeding, Kristen Renee

Jessee-Breeding, Kristen Renee is an individual health care provider with primary practice located at 16431 Wise St. , St. Paul VA 24283-0000. 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. Jessee-Breeding, Kristen Renee can be contacted via phone (276) 762-2300.

Contact Information

Primary practice address
16431 Wise St. St. Paul VA 24283-0000
Phone: (276) 762-2300
Fax: (276) 762-0612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110002222 Virginia

Profile Details

NPI number 1720006000
LBN Legal business name Jessee-Breeding, Kristen Renee
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720006000 NPPES
Tennessee Other TN01A5 JOHN DEERE TENNCARE
Tennessee MEDICAID 1720006000 JOHN DEERE TENNCARE

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