Quattlebaum, Jessyka

Quattlebaum, Jessyka is an individual health care provider with primary practice located at Lyster Army Health Clinic Building 301 Andrews Ave, Fort Rucker AL 36362-5333. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Quattlebaum, Jessyka can be contacted via phone (334) 255-7068.

Contact Information

Primary practice address
Lyster Army Health Clinic Building 301 Andrews Ave Fort Rucker AL 36362-5333
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2-064798 Alabama

Profile Details

NPI number 1740654334
LBN Legal business name Quattlebaum, Jessyka
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2015
Last updated Nov 19th, 2015 - about 11 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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