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
Fax: (985) 542-6089
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871697094 NPPES
Louisiana MEDICAID 1527459

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