Macleod, Jessica L

Macleod, Jessica L is an individual health care provider with primary practice located at 142 Woodridge Drive , Berlin VT 05602-9516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Macleod, Jessica L can be contacted via phone (802) 371-4700.

Contact Information

Primary practice address
142 Woodridge Drive Berlin VT 05602-9516
Phone: (802) 371-4700
Fax: (802) 371-4720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 101-0068303 Vermont

Profile Details

NPI number 1336469337
LBN Legal business name Macleod, Jessica L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2010
Last updated Dec 23rd, 2014 - about 12 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 1336469337 NPPES
Vermont MEDICAID 1017871

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