Poore, Jacob Adam

Poore, Jacob Adam is an individual health care provider with primary practice located at 18511 Highlander Medics Street William Beaumont Army Medical Center, Ft. Bliss TX 79918. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Poore, Jacob Adam can be contacted via phone (915) 569-3213.

Contact Information

Primary practice address
18511 Highlander Medics Street William Beaumont Army Medical Center Ft. Bliss TX 79918
Phone: (915) 569-3213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 134142 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2024005892 Missouri

Profile Details

NPI number 1598433245
LBN Legal business name Poore, Jacob Adam
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2021
Last updated Jul 24th, 2024 - about 2 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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