Radmall, Jessica Coleman

Radmall, Jessica Coleman is an individual health care provider with primary practice located at 2152 S Vineyard Ste 138 , Mesa AZ 85210-6882. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Radmall, Jessica Coleman can be contacted via phone (480) 539-6646.

Contact Information

Primary practice address
2152 S Vineyard Ste 138 Mesa AZ 85210-6882
Phone: (480) 539-6646
Fax: (480) 539-6696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP11704 Arizona

Profile Details

NPI number 1962985747
LBN Legal business name Radmall, Jessica Coleman
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2018
Last updated Nov 15th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962985747 NPPES
Arizona Other AP11704 ARIZONA BOARD OF NURSING- CNM LICENSE

Popular Providers