Mesa, Breanna Dominique

Mesa, Breanna Dominique is an individual health care provider with primary practice located at 127 Montgomery St , Jersey City NJ 07302-3616. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mesa, Breanna Dominique can be contacted via phone (201) 431-7200.

Contact Information

Primary practice address
127 Montgomery St Jersey City NJ 07302-3616
Phone: (201) 431-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00527800 New Jersey

Profile Details

NPI number 1720648728
LBN Legal business name Mesa, Breanna Dominique
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2019
Last updated Nov 15th, 2021 - about 5 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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