Verburg, Jessica Hale
Verburg, Jessica Hale is an individual health care provider with primary practice located at 42440 Pelican Professional Park , Hammond LA 70403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Verburg, Jessica Hale can be contacted via phone (985) 542-4950.Contact Information
Primary practice address
42440 Pelican Professional Park
Hammond LA 70403
Phone: (985) 542-4950
Fax: (985) 542-6089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN100866 AP04647 | Louisiana |
Profile Details
| NPI number | 1871697094 |
|---|---|
| LBN Legal business name | Verburg, Jessica Hale |
| Credentials | MSN, RN, CPNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Sep 8th, 2011 - about 15 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 | 1871697094 | NPPES |
| Louisiana | MEDICAID | 1527459 |
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