Warren, Jessica

Warren, Jessica is an individual health care provider with primary practice located at 3116 Willett Dr , Laramie WY 82072-5048. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Warren, Jessica can be contacted via phone (307) 742-9411.

Contact Information

Primary practice address
3116 Willett Dr Laramie WY 82072-5048
Phone: (307) 742-9411
Fax: (307) 742-9423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 40332.1643 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 111531 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 40332.1643 Wyoming

Profile Details

NPI number 1114368131
LBN Legal business name Warren, Jessica
Credentials APRN-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Sep 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114368131 NPPES
Wyoming MEDICAID 1114368131

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