Staples, Jessica M

Staples, Jessica M is an individual health care provider with primary practice located at 8290 University Ave Ne Ste 200 , Fridley MN 55432-1876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Staples, Jessica M can be contacted via phone (763) 786-9543.

Contact Information

Primary practice address
8290 University Ave Ne Ste 200 Fridley MN 55432-1876
Phone: (763) 786-9543
Fax: (763) 786-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10271 Minnesota

Profile Details

NPI number 1356544274
LBN Legal business name Staples, Jessica M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Oct 2nd, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356544274 NPPES
Minnesota MEDICAID 1356544274

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