Mcgimsey, Jessica L
Mcgimsey, Jessica L is an individual health care provider with primary practice located at 4250 Fowler Ln , Diamond Springs CA 95619-9781. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcgimsey, Jessica L can be contacted via phone (530) 626-3105.Contact Information
Primary practice address
4250 Fowler Ln
Diamond Springs CA 95619-9781
Phone: (530) 626-3105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1548727902 |
|---|---|
| LBN Legal business name | Mcgimsey, Jessica L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2019 |
| Last updated | May 18th, 2023 - about 3 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 | 1548727902 | NPPES |
| California | MEDICAID | 101YM0800X |
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