Petty, Jessica Lea
Petty, Jessica Lea is an individual health care provider with primary practice located at 194 Maready Rd , Jacksonville NC 28546-9332. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Petty, Jessica Lea can be contacted via phone (904) 240-9350.Contact Information
Primary practice address
194 Maready Rd
Jacksonville NC 28546-9332
Phone: (904) 240-9350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1407113111 |
|---|---|
| LBN Legal business name | Petty, Jessica Lea |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Apr 19th, 2012 - about 14 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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