Quintana, Jessie Marie
Quintana, Jessie Marie is an individual health care provider with primary practice located at 151 Central Main St , Pueblo CO 81003-4212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Quintana, Jessie Marie can be contacted via phone (719) 583-4380.Contact Information
Primary practice address
151 Central Main St
Pueblo CO 81003-4212
Phone: (719) 583-4380
Fax: (719) 583-4375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 51741 | Colorado |
Profile Details
| NPI number | 1619023199 |
|---|---|
| LBN Legal business name | Quintana, Jessie Marie |
| Credentials | ANPBC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Mar 7th, 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 | 1619023199 | NPPES |
| Colorado | MEDICAID | 40551741 | |
| Colorado | Other | 51741 |
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