Terry, Jessica S
Terry, Jessica S is an individual health care provider with primary practice located at 6701 Peters Creek Rd Ste 110 , Roanoke VA 24019-4060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Terry, Jessica S can be contacted via phone (800) 765-7130.Contact Information
Primary practice address
6701 Peters Creek Rd Ste 110
Roanoke VA 24019-4060
Phone: (800) 765-7130
Fax: (888) 500-1891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 51009 | West Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024171615 | Virginia |
Profile Details
| NPI number | 1780941831 |
|---|---|
| LBN Legal business name | Terry, Jessica S |
| Credentials | FNP/BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2012 |
| Last updated | Aug 1st, 2022 - about 4 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 | 1780941831 | NPPES |
| West Virginia | Other | 002697053 | HIGHMARK BCBS |
| West Virginia | MEDICAID | 3810023201 | HIGHMARK BCBS |
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