Jette, Jessica
Jette, Jessica is an individual health care provider with primary practice located at 3147 Nw 69Th Ct , Fort Lauderdale FL 33309-1236. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Jette, Jessica can be contacted via phone (954) 495-6085.Contact Information
Primary practice address
3147 Nw 69Th Ct
Fort Lauderdale FL 33309-1236
Phone: (954) 495-6085
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Technician, Other | 247200000X |
Profile Details
| NPI number | 1023565389 |
|---|---|
| LBN Legal business name | Jette, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2016 |
| Last updated | Sep 4th, 2016 - about 10 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 | 1023565389 | NPPES |
| Florida | MEDICAID | FLORIDA |
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