Jessen, Philip Frank Alain

Jessen, Philip Frank Alain is an individual health care provider with primary practice located at 1005 Mar Walt Drive Internal Medicine Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Jessen, Philip Frank Alain can be contacted via phone (850) 863-8202.

Contact Information

Primary practice address
1005 Mar Walt Drive Internal Medicine Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8202
Fax: (850) 862-6148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN3175792 Florida

Profile Details

NPI number 1871977173
LBN Legal business name Jessen, Philip Frank Alain
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Sep 25th, 2020 - about 6 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 1871977173 NPPES
Florida Other Y0S6Y BCBSFL
Florida MEDICAID 015293800 BCBSFL

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