Wackerman, Jessie

Wackerman, Jessie is an sole proprietor health care provider with primary practice located at 4101 Mount Cantara Cir , Corona CA 92882-7942. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wackerman, Jessie can be contacted via phone (714) 267-9817.

Contact Information

Primary practice address
4101 Mount Cantara Cir Corona CA 92882-7942
Phone: (714) 267-9817
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95017895 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95017895 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 95017895 California

Profile Details

NPI number 1053085076
LBN Legal business name Wackerman, Jessie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2021
Last updated Aug 3rd, 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

Popular Providers