Newman, Jessica Eleanor
Newman, Jessica Eleanor is an individual health care provider with primary practice located at 485 Valley Rd , Mocksville NC 27028-2074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Newman, Jessica Eleanor can be contacted via phone (336) 751-8000.Contact Information
Primary practice address
485 Valley Rd
Mocksville NC 27028-2074
Phone: (336) 751-8000
Fax: (336) 751-8010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001002821 | North Carolina |
Profile Details
| NPI number | 1205135258 |
|---|---|
| LBN Legal business name | Newman, Jessica Eleanor |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2011 |
| Last updated | Mar 14th, 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 | 1205135258 | NPPES |
| Other | 12242127 | CAQH # | |
| MEDICAID | 8102439 | CAQH # |
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