Wheaton, Jessica

Wheaton, Jessica is an individual health care provider with primary practice located at 4949 Liberty Ln Suite 210, Allentown PA 18106-9014. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wheaton, Jessica can be contacted via phone (484) 560-6600.

Contact Information

Primary practice address
4949 Liberty Ln Suite 210 Allentown PA 18106-9014
Phone: (484) 560-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X TLPN008400 Pennsylvania

Profile Details

NPI number 1255862421
LBN Legal business name Wheaton, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Mar 21st, 2017 - about 9 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 1255862421 NPPES
Pennsylvania MEDICAID 102888687

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