Jessup, Anna Regina
Jessup, Anna Regina is an individual health care provider with primary practice located at 2120 N Mays St Suite 450, Round Rock TX 78664-2192. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jessup, Anna Regina can be contacted via phone (512) 828-4405.Contact Information
Primary practice address
2120 N Mays St Suite 450
Round Rock TX 78664-2192
Phone: (512) 828-4405
Fax: (512) 828-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 669251 | Texas |
Profile Details
| NPI number | 1760692370 |
|---|---|
| LBN Legal business name | Jessup, Anna Regina |
| Credentials | RN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Dec 28th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760692370 | NPPES |
| Texas | Other | 0021NP | BCBS |
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