Wade, Jeremy Paul
Wade, Jeremy Paul is an sole proprietor health care provider with primary practice located at 1047 S Wells St , Meridian ID 83642-7997. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wade, Jeremy Paul can be contacted via phone (601) 451-4333.Contact Information
Primary practice address
1047 S Wells St
Meridian ID 83642-7997
Phone: (601) 451-4333
Fax: (888) 317-1077
Website:
Health care specialties
Profile Details
| NPI number | 1538494489 |
|---|---|
| LBN Legal business name | Wade, Jeremy Paul |
| Credentials | FNP, ENP, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 9th, 2009 |
| Last updated | Jun 18th, 2024 - about last year |
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 | 1538494489 | NPPES |
| Mississippi | MEDICAID | 00534527 | |
| Mississippi | MEDICAID | 500830485 |
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